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General NPI Number Information
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NPI Number | 1497110597
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Entity Type | Individual
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Provider Name | JAMIE LEIGH LAMBUTH APRN
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Gender | Female
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Dates
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Enumeration Date | 12/16/2015
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Last Update Date | 10/28/2025
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Provider Practice Location Address
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Address Line | 2450 WOLF RD STE F
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City | WESTCHESTER
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State | IL
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Zip | 60154-5643
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Country | US
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Telephone | 877-632-6637
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Fax | 708-409-5179
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Provider Business Mailing Address
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Address Line | PO BOX 735263
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City | CHICAGO
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State | IL
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Zip | 60673-5263
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Country | US
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Telephone |
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 1-119850
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License Number State | AL
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 209018777
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License Number State | IL
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