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NPI 1487096046

NPI 1487096046 : CRAIG LAMBERT THERAPY : LA JOLLA, CA

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General NPI Number Information
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    NPI Number           |    1487096046
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    Entity Type          |    Organization 
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    Legal Business Name  |    CRAIG LAMBERT THERAPY 
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Dates
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    Enumeration Date     |    07/24/2013
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    Last Update Date     |    07/24/2013
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Provider Practice Location Address
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    Address Line         |    7791 STARLIGHT DR 
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    City                 |    LA JOLLA
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    State                |    CA
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    Zip                  |    92037-3543
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    Country              |    US
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    Telephone            |    619-990-9032
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    Fax                  |    858-457-7790
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Provider Business Mailing Address
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    Address Line         |    7791 STARLIGHT DR 
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    City                 |    LA JOLLA
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    State                |    CA
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    Zip                  |    92037-3543
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    Country              |    US
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    Telephone            |    619-990-9032
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    Fax                  |    858-457-7790
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Authorized Official
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    Title or Position    |    PROPRIETOR
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    Name                 |     CRAIG  LAMBERT 
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    Credential           |    L.C.S.W.
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    Telephone            |    619-990-9032
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    106H00000X
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    Taxonomy Name        |    Marriage & Family Therapist
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    License Number       |    
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    License Number State |    
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