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General NPI Number Information
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NPI Number | 1093956187
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Entity Type | Individual
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Provider Name | ELLIE ELIZABETH LAMBERT LPC
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Gender | Female
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Dates
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Enumeration Date | 03/18/2009
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Last Update Date | 08/27/2010
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Provider Practice Location Address
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Address Line | 112 SW THOMAS ST STE 108
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City | BURLESON
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State | TX
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Zip | 76028-3818
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Country | US
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Telephone | 817-295-7733
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Fax | 817-295-7735
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Provider Business Mailing Address
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Address Line | 112 SW THOMAS ST STE 108
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City | BURLESON
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State | TX
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Zip | 76028-3818
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Country | US
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Telephone | 817-797-7694
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Fax | 817-295-7733
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 62686
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License Number State | TX
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