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General NPI Number Information
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NPI Number | 1689494932
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Entity Type | Individual
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Provider Name | AMY BRYN LAMB RN
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Gender | Female
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Dates
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Enumeration Date | 10/11/2024
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Last Update Date | 10/11/2024
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Provider Practice Location Address
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Address Line | 2101 ELM ST N
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City | FARGO
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State | ND
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Zip | 58102-2417
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Country | US
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Telephone | 701-239-3700
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Fax | 701-239-3720
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Provider Business Mailing Address
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Address Line | 4070 117H AVE SE
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City | VALLEY CITY
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State | ND
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Zip | 58072-9329
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Country | US
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Telephone | 701-330-5530
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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 | 163WH0500X
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Taxonomy Name | Hemodialysis Registered Nurse
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License Number | R34288
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License Number State | ND
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