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General NPI Number Information
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NPI Number | 1023822418
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Entity Type | Individual
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Provider Name | LATOYA LAMAR
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Gender | Female
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Dates
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Enumeration Date | 02/05/2025
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Last Update Date | 02/18/2025
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Provider Practice Location Address
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Address Line | 9430 BROADWAY ST
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City | PEARLAND
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State | TX
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Zip | 77584-8074
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Country | US
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Telephone | 281-824-1480
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Fax |
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Provider Business Mailing Address
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Address Line | 1346 BROADWAY ST
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City | PEARLAND
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State | TX
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Zip | 77581-6482
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Country | US
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Telephone | 832-531-3515
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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 | 163WC0400X
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Taxonomy Name | Case Management Registered Nurse
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License Number | 892764
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License Number State | TX
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