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General NPI Number Information
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NPI Number | 1699985507
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Entity Type | Individual
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Provider Name | LANCE A SCHAMBERGER D.D.S.
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Gender | Male
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Dates
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Enumeration Date | 05/23/2007
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Last Update Date | 08/04/2022
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Provider Practice Location Address
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Address Line | 733 U.S. HWY 24 SUITE 200
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City | LEADVILLE
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State | CO
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Zip | 80461
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Country | US
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Telephone | 719-486-2060
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Fax | 719-486-9429
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Provider Business Mailing Address
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Address Line | 733 US. HWY 24 SUITE 200
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City | LEADVILLE
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State | CO
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Zip | 80461
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Country | US
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Telephone | 719-486-2060
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Fax | 719-486-9429
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 015630
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License Number State | CO
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