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General NPI Number Information
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NPI Number | 1174961809
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Entity Type | Organization
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Legal Business Name | DR ROB LAMBERTS LLC
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Dates
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Enumeration Date | 06/04/2013
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Last Update Date | 06/04/2013
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Provider Practice Location Address
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Address Line | 119 DAVIS RD SUITE 4A
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City | AUGUSTA
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State | GA
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Zip | 30907-0200
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Country | US
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Telephone | 706-504-9321
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Fax | 706-504-9322
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Provider Business Mailing Address
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Address Line | 119 DAVIS RD SUITE 4A
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City | AUGUSTA
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State | GA
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Zip | 30907-0200
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Country | US
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Telephone | 706-504-9321
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Fax | 706-504-9322
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. ROBERT LAMBERTS
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Credential | MD
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Telephone | 706-504-9321
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332900000X
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Taxonomy Name | Non-Pharmacy Dispensing Site
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License Number | 038834
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License Number State | GA
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