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General NPI Number Information
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NPI Number | 1346241155
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Entity Type | Individual
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Provider Name | ANTHONY M LOMBARDO DPM
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Gender | Male
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Dates
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Enumeration Date | 08/02/2005
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Last Update Date | 03/28/2011
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Provider Practice Location Address
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Address Line | 12255 DE PAUL DR SUITE 470
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City | BRIDGETON
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State | MO
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Zip | 63044-2510
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Country | US
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Telephone | 314-739-8863
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Fax | 314-739-6448
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Provider Business Mailing Address
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Address Line | 12255 DE PAUL DR SUITE 470
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City | BRIDGETON
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State | MO
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Zip | 63044-2510
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Country | US
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Telephone | 314-739-8863
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Fax | 314-739-6448
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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 | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | 000551
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License Number State | MO
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