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General NPI Number Information
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NPI Number | 1700980273
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Entity Type | Organization
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Legal Business Name | JANE LAMP MD PA
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Dates
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Enumeration Date | 09/12/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 12957 PALMS WEST DR SUITE 104
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City | LOXAHATCHEE
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State | FL
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Zip | 33470-4989
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Country | US
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Telephone | 561-333-6033
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Fax | 561-333-6057
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Provider Business Mailing Address
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Address Line | 12957 PALMS WEST DR SUITE 104
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City | LOXAHATCHEE
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State | FL
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Zip | 33470-4989
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Country | US
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Telephone | 561-333-6033
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Fax | 561-333-6057
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JANE I LAMP
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Credential | MD
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Telephone | 561-333-6033
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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 | ME77706
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License Number State | FL
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