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General NPI Number Information
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NPI Number | 1386766418
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Entity Type | Individual
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Provider Name | ANDREA RENE LAMBILLOTTE MS
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Gender | Female
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Dates
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Enumeration Date | 04/06/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 4425 PARK BLVD
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City | PINELLAS PARK
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State | FL
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Zip | 33781-3540
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Country | US
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Telephone | 727-234-8194
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Fax |
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Provider Business Mailing Address
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Address Line | 819 FAIRWAYCOVE LN UNIT 201
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City | BRADENTON
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State | FL
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Zip | 34212-6347
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Country | US
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Telephone | 727-234-8194
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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