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General NPI Number Information
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NPI Number | 1063668176
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Entity Type | Individual
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Provider Name | MANISH PRABHAKAR LAMBAT M.D.
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Gender | Male
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Dates
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Enumeration Date | 08/09/2008
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Last Update Date | 05/15/2020
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Provider Practice Location Address
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Address Line | 2821 MICHAELANGELO DR STE 102
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City | EDINBURG
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State | TX
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Zip | 78539-1411
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Country | US
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Telephone | 956-362-8205
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Fax | 956-362-8209
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Provider Business Mailing Address
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Address Line | PO BOX 749
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City | PHARR
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State | TX
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Zip | 78577-1614
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Country | US
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Telephone | 956-362-8205
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Fax | 956-362-8209
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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 | 207XS0117X
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Taxonomy Name | Orthopaedic Surgery of the Spine Physician
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License Number | P73587
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 207XP3100X
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Taxonomy Name | Pediatric Orthopaedic Surgery Physician
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License Number | P1890
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License Number State | TX
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