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NPI 1124429659

NPI 1124429659 : LAMBERT FAMILY CHIROPRACTIC, PC : MISSOULA, MT

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General NPI Number Information
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    NPI Number           |    1124429659
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    Entity Type          |    Organization 
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    Legal Business Name  |    LAMBERT FAMILY CHIROPRACTIC, PC 
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Dates
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    Enumeration Date     |    09/16/2014
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    Last Update Date     |    09/16/2014
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Provider Practice Location Address
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    Address Line         |    1290 S 3RD ST W SUITE A
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    City                 |    MISSOULA
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    State                |    MT
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    Zip                  |    59801-2396
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    Country              |    US
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    Telephone            |    406-541-9355
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    Fax                  |    406-541-9356
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Provider Business Mailing Address
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    Address Line         |    1290 S 3RD ST W SUITE A
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    City                 |    MISSOULA
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    State                |    MT
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    Zip                  |    59801-2396
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    Country              |    US
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    Telephone            |    406-541-9355
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    Fax                  |    406-541-9356
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |    DR. ANTHONY  LAMBERT 
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    Credential           |    D.C.
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    Telephone            |    406-541-9355
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    111N00000X
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    Taxonomy Name        |    Chiropractor
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    License Number       |    1127
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    License Number State |    MT
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