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General NPI Number Information
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NPI Number | 1164962783
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Entity Type | Individual
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Provider Name | MATTHEW LAMPE D.C.
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Gender | Male
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Dates
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Enumeration Date | 03/01/2017
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Last Update Date | 01/01/2025
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Provider Practice Location Address
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Address Line | 328 ALEXANDER ST SE SUITE 12
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City | MARIETTA
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State | GA
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Zip | 30060-2092
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Country | US
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Telephone | 678-750-3570
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Fax |
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Provider Business Mailing Address
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Address Line | 3420 TUSCANY DR SE
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City | GRAND RAPIDS
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State | MI
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Zip | 49546-7265
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Country | US
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Telephone | 616-402-7843
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | CHIR009787
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 2301401203
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License Number State | MI
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