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General NPI Number Information
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NPI Number | 1740469030
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Entity Type | Individual
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Provider Name | CORY DWAYNE LAMAR M.D.
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Gender | Male
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Dates
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Enumeration Date | 11/02/2007
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Last Update Date | 08/04/2025
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Provider Practice Location Address
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Address Line | 800 GOODLETTE-FRANK RD N STE 205
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City | NAPLES
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State | FL
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Zip | 34102-5408
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Country | US
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Telephone | 239-667-5878
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Fax | 238-667-5838
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Provider Business Mailing Address
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Address Line | 9960 NW 116TH WAY STE 13
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City | MEDLEY
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State | FL
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Zip | 33178-1175
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Country | US
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Telephone | 786-924-1311
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Fax | 786-924-1313
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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 | 2084E0001X
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Taxonomy Name | Epilepsy Physician
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License Number | ME142606
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | ME142606
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | 20342
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License Number State | NH
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Taxonomy #4
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | 91191
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License Number State | MT
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Taxonomy #5
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | 84889
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License Number State | GA
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Taxonomy #6
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | 2011-01207
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License Number State | NC
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Taxonomy #7
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | 84889
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License Number State | GA
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Taxonomy #8
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #9
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Taxonomy Code | 2084E0001X
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Taxonomy Name | Epilepsy Physician
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License Number | ME142626
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License Number State | FL
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