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General NPI Number Information
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NPI Number | 1356407779
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Entity Type | Organization
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Legal Business Name | DEREK H. LAMB, DMD, MD, PLLC
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Dates
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Enumeration Date | 12/29/2006
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Last Update Date | 12/04/2012
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Provider Practice Location Address
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Address Line | 3501 N SCOTTSDALE RD SUITE 226
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City | SCOTTSDALE
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State | AZ
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Zip | 85251-5648
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Country | US
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Telephone | 480-941-5005
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Fax |
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Provider Business Mailing Address
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Address Line | 3501 N SCOTTSDALE RD SUITE 226
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City | SCOTTSDALE
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State | AZ
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Zip | 85251-5648
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Country | US
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Telephone | 480-941-5005
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Fax |
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Authorized Official
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Title or Position | OWNER / ORAL & MAXILLOFACIAL SURGEO
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Name | DR. DEREK H. LAMB
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Credential | DMD, MD
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Telephone | 480-941-5005
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number | 2202
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License Number State | AZ
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