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General NPI Number Information
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NPI Number | 1033919170
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Entity Type | Individual
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Provider Name | DINESH LAMBA FNP-BC
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Gender | Male
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Dates
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Enumeration Date | 03/17/2025
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Last Update Date | 03/17/2025
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Provider Practice Location Address
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Address Line | 993 JOHNSON FY RD NE BLDG F
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City | ATLANTA
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State | GA
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Zip | 30342-1620
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Country | US
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Telephone | 404-256-1727
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Fax |
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Provider Business Mailing Address
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Address Line | 3900 SAMARIA CT
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City | TUCKER
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State | GA
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Zip | 30084-7423
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Country | US
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Telephone | 904-208-8495
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 2024104601
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License Number State | GA
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