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General NPI Number Information
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NPI Number | 1245408921
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Entity Type | Organization
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Legal Business Name | CHARANJIT K. LAMBA M.D. P.S.
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Dates
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Enumeration Date | 02/14/2008
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Last Update Date | 02/14/2008
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Provider Practice Location Address
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Address Line | 24703 38TH AVE S
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City | KENT
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State | WA
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Zip | 98032-4111
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Country | US
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Telephone | 253-839-0413
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Fax |
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Provider Business Mailing Address
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Address Line | 24703 38TH AVE S
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City | KENT
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State | WA
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Zip | 98032-4111
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Country | US
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Telephone | 253-839-0413
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Fax |
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Authorized Official
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Title or Position | PRESIDENT/OWNER
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Name | DR. CHARANJIT K. LAMBA
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Credential | M.D.
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Telephone | 253-839-0413
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | MD00020975
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License Number State | WA
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