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General NPI Number Information
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NPI Number | 1003121674
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Entity Type | Individual
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Provider Name | WILMOT LAMBERT RN
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Gender | Male
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Dates
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Enumeration Date | 08/08/2010
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Last Update Date | 11/05/2024
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Provider Practice Location Address
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Address Line | 149 PINEVIEW COVE CT
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City | MONTGOMERY
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State | TX
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Zip | 77316-3220
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Country | US
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Telephone | 936-548-6598
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Fax |
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Provider Business Mailing Address
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Address Line | 149 PINEVIEW COVE CT
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City | MONTGOMERY
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State | TX
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Zip | 77316-3220
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Country | US
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Telephone | 936-548-6598
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Fax |
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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 | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | 338439-1
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 364SP0813X
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Taxonomy Name | Geropsychiatric Psychiatric/Mental Health Clinical Nurse Specialist
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License Number | 1058952
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 005636
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License Number State | CT
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Taxonomy #4
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 611372
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License Number State | NY
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Taxonomy #5
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 404570
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License Number State | NY
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