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General NPI Number Information
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NPI Number | 1528427895
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Entity Type | Individual
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Provider Name | MRS. CAROL T. LAMBERT
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Gender | Female
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Dates
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Enumeration Date | 02/15/2016
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Last Update Date | 02/15/2016
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Provider Practice Location Address
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Address Line | 5706 E MOCKINGBIRD LN SUITE 115
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City | DALLAS
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State | TX
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Zip | 75206-5460
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Country | US
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Telephone | 210-824-5525
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Fax | 210-824-5525
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Provider Business Mailing Address
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Address Line | 5706 E MOCKINGBIRD LN SUITE 115
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City | DALLAS
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State | TX
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Zip | 75206-5460
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Country | US
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Telephone | 210-824-5525
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Fax | 210-824-5525
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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 | 171WH0202X
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Taxonomy Name | Home Modifications Contractor
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License Number | IC1-322
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License Number State | TX
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