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General NPI Number Information
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NPI Number | 1245914894
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Entity Type | Organization
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Legal Business Name | LAMEY CLINIC, LLC
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Dates
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Enumeration Date | 06/14/2023
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Last Update Date | 08/05/2023
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Provider Practice Location Address
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Address Line | 523 HARKRIDER ST
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City | CONWAY
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State | AR
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Zip | 72032-5631
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Country | US
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Telephone | 501-514-8531
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Fax | 501-358-6045
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Provider Business Mailing Address
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Address Line | 523 HARKRIDER ST
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City | CONWAY
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State | AR
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Zip | 72032-5631
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Country | US
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Telephone | 501-514-8531
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Fax | 501-358-6045
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Authorized Official
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Title or Position | OWNER
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Name | TRACY LAMEY
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Credential | APRN
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Telephone | 501-730-1676
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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