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General NPI Number Information
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NPI Number | 1063264059
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Entity Type | Organization
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Legal Business Name | LAMBERT DENTISTRY PC
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Dates
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Enumeration Date | 04/03/2024
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Last Update Date | 04/03/2024
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Provider Practice Location Address
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Address Line | 34-38 BALL ST
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City | PORT JERVIS
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State | NY
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Zip | 12771-2460
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Country | US
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Telephone | 845-320-3543
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 87
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City | SPARROW BUSH
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State | NY
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Zip | 12780-0087
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. NICOLE LAMBERT
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Credential | DDS
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Telephone | 845-320-3543
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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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 | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number |
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License Number State |
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