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General NPI Number Information
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NPI Number | 1649772724
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Entity Type | Organization
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Legal Business Name | RANDOLPH L. LAMBERSON MD PC
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Dates
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Enumeration Date | 03/05/2018
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Last Update Date | 04/25/2018
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Provider Practice Location Address
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Address Line | 198 NARROWS DR STE 103
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City | BIRMINGHAM
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State | AL
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Zip | 35242-8663
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Country | US
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Telephone | 205-848-8420
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Fax |
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Provider Business Mailing Address
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Address Line | 1230 HIGHLAND LAKES TRL
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City | BIRMINGHAM
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State | AL
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Zip | 35242-6850
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Country | US
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Telephone | 205-369-7262
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | RANDOLPH L LAMBERSON
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Credential | MD
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Telephone | 205-369-7262
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 00015951
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License Number State | AL
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