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NPI 1396012332

NPI 1396012332 : CHRISTOPHER F LOMBARD RN : CORTLAND, OH

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General NPI Number Information
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    NPI Number           |    1396012332
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    Entity Type          |    Individual 
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    Provider Name        |    CHRISTOPHER F LOMBARD RN
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    11/18/2011
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    Last Update Date     |    11/18/2011
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Provider Practice Location Address
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    Address Line         |    4489 HOAGLAND BLACKSTUB RD 
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    City                 |    CORTLAND
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    State                |    OH
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    Zip                  |    44410-9573
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    Country              |    US
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    Telephone            |    330-501-8588
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    Fax                  |    330-306-5123
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Provider Business Mailing Address
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    Address Line         |    4489 HOAGLAND BLACKSTUB RD 
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    City                 |    CORTLAND
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    State                |    OH
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    Zip                  |    44410-9573
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    Country              |    US
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    Telephone            |    330-501-8588
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    Fax                  |    330-306-5123
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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        |    374700000X
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    Taxonomy Name        |    Technician
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    License Number       |    RN332981
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    License Number State |    OH
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