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General NPI Number Information
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NPI Number | 1659754646
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Entity Type | Individual
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Provider Name | SANDRA ALISON LAMSMA
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Gender | Female
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Dates
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Enumeration Date | 07/08/2015
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Last Update Date | 07/08/2015
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Provider Practice Location Address
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Address Line | 12416 S HARLEM AVE SUITE 305
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City | PALOS HEIGHTS
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State | IL
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Zip | 60463-1441
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Country | US
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Telephone | 708-385-4889
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Fax | 708-385-4088
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Provider Business Mailing Address
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Address Line | 12416 S HARLEM AVE SUITE 305
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City | PALOS HEIGHTS
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State | IL
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Zip | 60463-1441
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Country | US
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Telephone | 708-385-4889
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Fax | 708-385-4088
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 149016774
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License Number State | IL
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