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General NPI Number Information
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NPI Number | 1992917033
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Entity Type | Organization
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Legal Business Name | ALAN M LAZAR MD PA
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Dates
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Enumeration Date | 05/03/2007
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Last Update Date | 03/31/2008
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Provider Practice Location Address
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Address Line | 350 NW 84TH AVE STE 206
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City | PLANTATION
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State | FL
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Zip | 33324-1817
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Country | US
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Telephone | 954-476-9494
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Fax | 954-473-9460
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Provider Business Mailing Address
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Address Line | PO BOX 16957
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City | PLANTATION
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State | FL
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Zip | 33318-6957
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Country | US
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Telephone | 954-476-9494
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Fax | 954-473-9460
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Authorized Official
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Title or Position | DOCTOR
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Name | DR. ALAN MARC LAZAR
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Credential | MD
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Telephone | 954-476-9494
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | ME34661
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License Number State | FL
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