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General NPI Number Information
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NPI Number | 1891849444
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Entity Type | Individual
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Provider Name | ELLIOTT ALAN LEHRER DPM
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Gender | Male
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Dates
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Enumeration Date | 01/22/2007
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Last Update Date | 07/09/2007
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Provider Practice Location Address
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Address Line | 190 PROSPECT PLAINS RD
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City | MONROE TOWNSHIP
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State | NJ
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Zip | 08831-3713
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Country | US
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Telephone | 609-655-2222
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Fax | 609-655-5977
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Provider Business Mailing Address
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Address Line | 54 PONDEROSA LN
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City | OLD BRIDGE
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State | NJ
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Zip | 08857-3335
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Country | US
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Telephone | 732-234-3471
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Fax | 609-655-5977
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | 25MD00138000
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License Number State | NJ
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