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General NPI Number Information
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NPI Number | 1184710279
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Entity Type | Individual
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Provider Name | DANA M LAMAIR
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Gender | Female
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Dates
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Enumeration Date | 10/05/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1800 COMMUNITY
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City | CLINTON
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State | MO
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Zip | 64735-8804
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Country | US
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Telephone | 660-885-8131
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Fax | 816-318-3256
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Provider Business Mailing Address
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Address Line | 11458 N STATE HIGHWAY H
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City | PLEASANT HOPE
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State | MO
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Zip | 65725-9238
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Country | US
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Telephone |
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 2004032647
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License Number State | MO
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