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General NPI Number Information
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NPI Number | 1093622151
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Entity Type | Individual
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Provider Name | JONATHON ROBERT LOMBARDI
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Gender | Male
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Dates
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Enumeration Date | 08/25/2026
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Last Update Date | 08/25/2026
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Provider Practice Location Address
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Address Line | 2463 N BUFFUM ST
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City | MILWAUKEE
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State | WI
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Zip | 53212-2901
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Country | US
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Telephone | 414-267-1313
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Fax |
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Provider Business Mailing Address
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Address Line | 5947 S HONEY CREEK DR
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City | GREENFIELD
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State | WI
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Zip | 53221-4825
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Country | US
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Telephone | 414-267-1313
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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 | 103TS0200X
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Taxonomy Name | School Psychologist
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License Number | 3001029877
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License Number State | WI
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