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General NPI Number Information
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NPI Number | 1457712523
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Entity Type | Individual
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Provider Name | AUDREY LAMBERSON
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Gender | Female
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Dates
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Enumeration Date | 03/16/2016
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Last Update Date | 10/14/2020
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Provider Practice Location Address
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Address Line | 515 E 1ST ST
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City | DUMAS
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State | TX
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Zip | 79029-3219
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Country | US
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Telephone | 806-934-2634
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Fax |
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Provider Business Mailing Address
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Address Line | 11623 ARBOR ST
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City | OMAHA
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State | NE
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Zip | 68144-2981
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Country | US
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Telephone |
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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 | 4435
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License Number State | NM
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 1239650
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License Number State | TX
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