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General NPI Number Information
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NPI Number | 1568162980
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Entity Type | Individual
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Provider Name | REYGAN BROOKE LAMB ATC
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Gender | Female
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Dates
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Enumeration Date | 03/06/2023
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Last Update Date | 02/28/2024
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Provider Practice Location Address
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Address Line | 1 CAVALIER DR
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City | COOKEVILLE
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State | TN
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Zip | 38501-4988
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Country | US
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Telephone | 931-319-1143
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Fax |
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Provider Business Mailing Address
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Address Line | 1419 TOSHIBA DR APT 2-205
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City | LEBANON
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State | TN
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Zip | 37087-3740
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Country | US
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Telephone | 931-319-1143
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Fax | 931-319-1143
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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 | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number |
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License Number State |
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