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General NPI Number Information
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NPI Number | 1487012225
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Entity Type | Organization
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Legal Business Name | LAMB ANESTHESIA
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Dates
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Enumeration Date | 02/08/2016
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Last Update Date | 02/08/2016
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Provider Practice Location Address
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Address Line | 41922 N MILL DR
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City | MAGNOLIA
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State | TX
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Zip | 77354-1850
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Country | US
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Telephone | 210-602-5578
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Fax |
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Provider Business Mailing Address
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Address Line | 41922 N MILL DR
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City | MAGNOLIA
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State | TX
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Zip | 77354-1850
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Country | US
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Telephone | 210-602-5578
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. MICAL SAMUELSON DUVALL
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Credential | MD
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Telephone | 210-602-5578
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | Q0169
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License Number State | TX
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