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General NPI Number Information
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NPI Number | 1952973000
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Entity Type | Organization
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Legal Business Name | DAVID LAZALA MD P.C.
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Dates
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Enumeration Date | 07/16/2021
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Last Update Date | 07/20/2021
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Provider Practice Location Address
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Address Line | 126 NAGLE AVE
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City | NEW YORK
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State | NY
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Zip | 10040-1437
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Country | US
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Telephone | 929-724-4300
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Fax | 929-724-4301
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Provider Business Mailing Address
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Address Line | 25 HOLLY ST
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City | YONKERS
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State | NY
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Zip | 10704-2813
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Country | US
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Telephone | 929-235-0382
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Fax |
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Authorized Official
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Title or Position | FAMILY MEDICINE
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Name | DAVID LAZALA
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Credential | MD
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Telephone | 929-235-0382
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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