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General NPI Number Information
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NPI Number | 1689866477
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Entity Type | Organization
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Legal Business Name | LAMBERT DENTAL PC
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Dates
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Enumeration Date | 08/15/2007
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Last Update Date | 08/15/2007
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Provider Practice Location Address
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Address Line | 6480 HWY 11 NORTH
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City | CARRIERE
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State | MS
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Zip | 39426
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Country | US
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Telephone | 601-749-9330
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Fax | 601-749-9449
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Provider Business Mailing Address
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Address Line | 6480 HWY 11 NORTH
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City | CARRIERE
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State | MS
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Zip | 39426
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Country | US
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Telephone | 601-749-9330
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Fax | 601-749-9449
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Authorized Official
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Title or Position | DDS OWNER
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Name | DR. JAMES LEWIS LAMBERT
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Credential |
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Telephone | 601-749-9330
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 3007
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License Number State | MS
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