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General NPI Number Information
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NPI Number | 1053861765
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Entity Type | Organization
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Legal Business Name | JORDAN A LAMBERTON DDS, INC
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Dates
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Enumeration Date | 10/05/2016
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Last Update Date | 10/05/2016
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Provider Practice Location Address
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Address Line | 3270 BEARD RD
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City | NAPA
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State | CA
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Zip | 94558-3406
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Country | US
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Telephone | 707-226-5555
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Fax |
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Provider Business Mailing Address
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Address Line | 3270 BEARD RD
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City | NAPA
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State | CA
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Zip | 94558-3406
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Country | US
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Telephone | 707-226-5555
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Fax |
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Authorized Official
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Title or Position | OWNER/CEO
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Name | JORDAN LAMBERTON
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Credential |
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Telephone | 707-226-5555
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BC3200X
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Taxonomy Name | Customized Equipment (DME)
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | 61054
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License Number State | CA
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