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General NPI Number Information
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NPI Number | 1942334040
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Entity Type | Individual
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Provider Name | BETTE LAZZARO MD
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Gender | Female
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Dates
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Enumeration Date | 03/14/2007
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Last Update Date | 05/23/2025
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Provider Practice Location Address
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Address Line | 819 S GOVERNORS AVE
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City | DOVER
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State | DE
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Zip | 19904-4158
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Country | US
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Telephone | 302-888-0213
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Fax | 610-524-8099
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Provider Business Mailing Address
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Address Line | 298 FOX RUN
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City | EXTON
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State | PA
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Zip | 19341-2119
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Country | US
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Telephone | 215-432-3099
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Fax | 610-524-8099
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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 | 207NS0135X
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Taxonomy Name | Procedural Dermatology Physician
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License Number | C1-0006098
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License Number State | DE
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