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General NPI Number Information
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NPI Number | 1255542460
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Entity Type | Individual
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Provider Name | CHRISTINE LYNN LAMBAKIS OT
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Gender | Female
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Dates
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Enumeration Date | 05/28/2007
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Last Update Date | 07/09/2007
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Provider Practice Location Address
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Address Line | 400 N MORRIS ST
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City | STOUGHTON
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State | WI
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Zip | 53589-1857
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Country | US
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Telephone | 608-873-5651
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Fax |
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Provider Business Mailing Address
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Address Line | 66 WAUBESA ST
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City | MADISON
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State | WI
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Zip | 53704-5429
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Country | US
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Telephone | 608-245-1233
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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 | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 4278-026
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License Number State | WI
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