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NPI 1487776522

NPI 1487776522 : PHILLIP D LAMBERT DDS : RENO, NV

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General NPI Number Information
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    NPI Number           |    1487776522
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    Entity Type          |    Individual 
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    Provider Name        |    PHILLIP D LAMBERT DDS
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    04/06/2007
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    Last Update Date     |    07/08/2007
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Provider Practice Location Address
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    Address Line         |    532 HUMBOLDT ST 
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    City                 |    RENO
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    State                |    NV
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    Zip                  |    89509-1602
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    Country              |    US
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    Telephone            |    775-786-6168
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    Fax                  |    775-786-6894
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Provider Business Mailing Address
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    Address Line         |    2385 WARRIOR LN 
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    City                 |    RENO
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    State                |    NV
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    Zip                  |    89523-9544
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    Country              |    US
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    Telephone            |    775-345-0118
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    Fax                  |    775-345-1625
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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        |    122300000X
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    Taxonomy Name        |    Dentist
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    License Number       |    677
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    License Number State |    NV
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