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NPI 1033738463

NPI 1033738463 : NH LAMBERT PA-C LLC : SCOTTDALE, AZ

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General NPI Number Information
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    NPI Number           |    1033738463
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    Entity Type          |    Organization 
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    Legal Business Name  |    NH LAMBERT PA-C LLC 
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Dates
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    Enumeration Date     |    04/15/2020
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    Last Update Date     |    04/15/2020
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Provider Practice Location Address
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    Address Line         |    1776 N SCOTTDALE RD #368 
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    City                 |    SCOTTDALE
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    State                |    AZ
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    Zip                  |    85252
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    Country              |    US
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    Telephone            |    480-201-5264
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    Fax                  |    480-393-1970
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Provider Business Mailing Address
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    Address Line         |    1776 N SCOTTDALE RD #368 
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    City                 |    SCOTTDALE
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    State                |    AZ
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    Zip                  |    85252
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    Country              |    US
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    Telephone            |    480-201-5264
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    Fax                  |    480-393-1970
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Authorized Official
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    Title or Position    |    BILLING MANAGER/OFFICE MANAGER
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    Name                 |     MICHELLE DAWN TUCKER 
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    Credential           |    CPC
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    Telephone            |    480-201-2564
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    363A00000X
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    Taxonomy Name        |    Physician Assistant
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    License Number       |    
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    License Number State |    
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