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General NPI Number Information
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NPI Number | 1417270117
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Entity Type | Individual
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Provider Name | NORMAN OLOJAN LAMBOT PT
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Gender | Male
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Dates
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Enumeration Date | 03/09/2010
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Last Update Date | 03/06/2015
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Provider Practice Location Address
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Address Line | 1921 S MICHIGAN AVE
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City | CHICAGO
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State | IL
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Zip | 60616-1603
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Country | US
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Telephone | 312-328-9220
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Fax |
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Provider Business Mailing Address
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Address Line | 3130 N LAKE SHORE DR APT 912
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City | CHICAGO
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State | IL
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Zip | 60657-4918
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Country | US
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Telephone | 773-732-0131
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 070-016493
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License Number State | IL
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