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General NPI Number Information
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NPI Number | 1245850205
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Entity Type | Individual
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Provider Name | MELANIE LAMB
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Gender | Female
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Dates
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Enumeration Date | 04/20/2020
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Last Update Date | 04/21/2020
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Provider Practice Location Address
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Address Line | 30 NIGHTINGALE ROAD
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City | EDWARDS AFB
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State | CA
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Zip | 93524-4705
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Country | US
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Telephone | 661-275-2566
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Fax |
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Provider Business Mailing Address
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Address Line | 41806 TILTON DR
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City | PALMDALE
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State | CA
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Zip | 93551-4705
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Country | US
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Telephone | 804-337-1144
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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