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General NPI Number Information
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NPI Number | 1982882023
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Entity Type | Organization
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Legal Business Name | LANCASTER MEDICAL CENTER PA
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Dates
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Enumeration Date | 01/31/2008
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Last Update Date | 05/08/2008
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Provider Practice Location Address
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Address Line | 713 W LANCASTER RD
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City | ORLANDO
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State | FL
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Zip | 32809-5994
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Country | US
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Telephone | 407-240-9905
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Fax | 407-240-6216
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Provider Business Mailing Address
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Address Line | 713 W LANCASTER RD
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City | ORLANDO
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State | FL
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Zip | 32809-5994
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Country | US
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Telephone | 407-240-9905
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Fax | 407-240-6216
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Authorized Official
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Title or Position | DOCTOR
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Name | DR. THAI PHAM
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Credential | MD
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Telephone | 407-240-9905
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | ME0074845
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License Number State | FL
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