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General NPI Number Information
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NPI Number | 1164821724
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Entity Type | Individual
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Provider Name | JONATHAN PAUL LAMBERT DPT
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Gender | Male
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Dates
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Enumeration Date | 08/20/2014
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Last Update Date | 06/17/2020
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Provider Practice Location Address
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Address Line | 805 BLANKENBAKER PKWY STE 107
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City | LOUISVILLE
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State | KY
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Zip | 40243-2804
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Country | US
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Telephone | 502-253-0833
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Fax | 502-253-0834
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Provider Business Mailing Address
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Address Line | PO BOX 306393
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City | NASHVILLE
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State | TN
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Zip | 37230-6393
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Country | US
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Telephone | 615-373-1350
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Fax | 615-221-9054
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 10084
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 05012340A
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License Number State | IN
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Taxonomy #3
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 006819
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License Number State | KY
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