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General NPI Number Information
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NPI Number | 1730141623
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Entity Type | Organization
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Legal Business Name | JEFFERY W. LAMOUR, DPM, PA
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Dates
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Enumeration Date | 04/05/2006
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Last Update Date | 09/27/2011
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Provider Practice Location Address
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Address Line | 8015 SHOAL CREEK BLVD #119
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City | AUSTIN
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State | TX
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Zip | 78757-8066
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Country | US
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Telephone | 512-451-3668
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Fax | 512-451-1823
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Provider Business Mailing Address
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Address Line | 8015 SHOAL CREEK BLVD #119
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City | AUSTIN
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State | TX
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Zip | 78757-8066
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Country | US
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Telephone | 512-451-3668
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Fax | 512-451-1823
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Authorized Official
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Title or Position | OWNER
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Name | JEFFREY WILLIAM LAMOUR
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Credential | DPM
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Telephone | 512-451-3668
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | 1322
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License Number State | TX
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