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General NPI Number Information
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NPI Number | 1730144080
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Entity Type | Individual
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Provider Name | ANNE MESICK LAMB PT, MSHCS
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Gender | Female
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Dates
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Enumeration Date | 04/19/2006
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Last Update Date | 12/05/2024
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Provider Practice Location Address
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Address Line | 123 W. BROADWAY AVE
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City | OWATONNA
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State | MN
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Zip | 55060
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Country | US
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Telephone | 507-451-7888
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Fax | 507-451-3322
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Provider Business Mailing Address
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Address Line | 500 CROSS ST
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City | BIG STONE CITY
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State | SD
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Zip | 57216-8237
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Country | US
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Telephone | 605-541-1147
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Fax | 605-541-0109
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 2283
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License Number State | MN
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