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General NPI Number Information
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NPI Number | 1477177756
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Entity Type | Individual
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Provider Name | JENNIFER LAMBERT CRNA
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Gender | Female
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Dates
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Enumeration Date | 06/03/2020
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Last Update Date | 06/03/2020
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Provider Practice Location Address
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Address Line | 1007 GOODYEAR AVE
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City | GADSDEN
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State | AL
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Zip | 35903-1195
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Country | US
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Telephone | 256-442-4000
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Fax |
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Provider Business Mailing Address
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Address Line | 1406 DAN AVE
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City | ALBERTVILLE
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State | AL
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Zip | 35950-5921
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Country | US
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Telephone | 256-390-8693
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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 | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 1-095126
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License Number State | AL
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