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NPI 1205320603

NPI 1205320603 : ROBERT LAMBERT : TAYLORSVILLE, UT

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General NPI Number Information
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    NPI Number           |    1205320603
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    Entity Type          |    Individual 
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    Provider Name        |    ROBERT LAMBERT
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    06/19/2018
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    Last Update Date     |    11/18/2024
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Provider Practice Location Address
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    Address Line         |    3809 W 6200 S 
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    City                 |    TAYLORSVILLE
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    State                |    UT
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    Zip                  |    84129-3725
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    Country              |    US
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    Telephone            |    801-963-4360
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    3735 N DRIFTWOOD LN 
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    City                 |    CEDAR CITY
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    State                |    UT
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    Zip                  |    84721-7237
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    Country              |    US
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    Telephone            |    435-233-3002
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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        |    104100000X
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    Taxonomy Name        |    Social Worker
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    1041C0700X
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    Taxonomy Name        |    Clinical Social Worker
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    License Number       |    0904015854
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    License Number State |    AZ
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Taxonomy #3
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    Taxonomy Code        |    1041C0700X
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    Taxonomy Name        |    Clinical Social Worker
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    License Number       |    0904015854
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    License Number State |    VA
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