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General NPI Number Information
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NPI Number | 1821237215
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Entity Type | Organization
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Legal Business Name | ERIC LAGER, M.D., P.C.
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Dates
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Enumeration Date | 02/09/2009
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Last Update Date | 02/09/2009
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Provider Practice Location Address
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Address Line | 2400 CHESTNUT ST 3302
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City | PHILADELPHIA
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State | PA
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Zip | 19103-4316
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Country | US
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Telephone | 215-665-1867
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Fax |
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Provider Business Mailing Address
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Address Line | 2400 CHESTNUT ST 3302
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City | PHILADELPHIA
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State | PA
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Zip | 19103-4316
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Country | US
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Telephone | 215-665-1867
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ERIC LAGER
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Credential |
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Telephone | 215-665-1867
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number | 006433E
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License Number State | PA
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