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General NPI Number Information
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NPI Number | 1164501482
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Entity Type | Individual
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Provider Name | NATHAN LEE LAMBERTH MA, LPC
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Gender | Male
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Dates
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Enumeration Date | 11/06/2006
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Last Update Date | 07/24/2025
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Provider Practice Location Address
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Address Line | 483 W SEED FARM RD
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City | SACATON
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State | AZ
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Zip | 85147-5000
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Country | US
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Telephone | 520-836-3446
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Fax | 520-836-2305
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Provider Business Mailing Address
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Address Line | 2520 E AUGUSTA AVE
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City | GILBERT
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State | AZ
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Zip | 85298-0199
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Country | US
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Telephone | 602-291-3621
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | LPC-12336
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License Number State | AZ
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