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General NPI Number Information
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NPI Number | 1174010193
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Entity Type | Individual
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Provider Name | JACOB LAMBDIN
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Gender | Male
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Dates
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Enumeration Date | 04/16/2018
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Last Update Date | 08/17/2018
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Provider Practice Location Address
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Address Line | 900 23RD ST NW
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City | WASHINGTON
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State | DC
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Zip | 20037-2342
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Country | US
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Telephone | 202-715-4000
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Fax |
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Provider Business Mailing Address
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Address Line | 2150 PENNSYLANNIA AVE NW, WASHINGTON, DC 20037 DEPARTMENT OF SURGERY
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City | ARLINGTON
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State | VA
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Zip | 22201-4636
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Country | US
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Telephone | 540-522-7465
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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