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NPI 1487900783

NPI 1487900783 : GREGORY A. LAMBE, D.C., P.A. : MARIANNA, FL

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General NPI Number Information
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    NPI Number           |    1487900783
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    Entity Type          |    Organization 
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    Legal Business Name  |    GREGORY A. LAMBE, D.C., P.A. 
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Dates
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    Enumeration Date     |    07/24/2012
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    Last Update Date     |    07/25/2012
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Provider Practice Location Address
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    Address Line         |    3894 HIGHWAY 90 
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    City                 |    MARIANNA
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    State                |    FL
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    Zip                  |    32446-8919
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    Country              |    US
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    Telephone            |    850-482-2966
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    Fax                  |    850-526-2994
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Provider Business Mailing Address
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    Address Line         |    3894 HIGHWAY 90 
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    City                 |    MARIANNA
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    State                |    FL
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    Zip                  |    32446-8919
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    Country              |    US
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    Telephone            |    850-482-2966
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    Fax                  |    850-526-2994
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |    DR. GREGORY A. LAMBE 
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    Credential           |    DC
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    Telephone            |    850-482-2966
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    261QM2500X
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    Taxonomy Name        |    Medical Specialty Clinic/Center
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    License Number       |    CH0004466
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    License Number State |    FL
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