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General NPI Number Information
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NPI Number | 1750827036
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Entity Type | Individual
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Provider Name | ANGELISA LAMBERT APRN
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Gender | Female
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Dates
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Enumeration Date | 01/11/2017
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Last Update Date | 10/02/2024
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Provider Practice Location Address
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Address Line | 7301 ROGERS AVE
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City | FORT SMITH
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State | AR
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Zip | 72903-4100
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Country | US
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Telephone | 479-314-6000
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Fax |
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Provider Business Mailing Address
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Address Line | 103 POINTER TRL W
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City | VAN BUREN
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State | AR
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Zip | 72956-2263
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Country | US
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Telephone |
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Fax |
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | A004991
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License Number State | AR
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