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General NPI Number Information
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NPI Number | 1780003558
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Entity Type | Individual
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Provider Name | ACACIA LAMB M.D., PH.D.
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Gender | Female
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Dates
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Enumeration Date | 04/09/2014
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Last Update Date | 02/16/2025
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Provider Practice Location Address
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Address Line | 601 CHILDRENS LN
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City | NORFOLK
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State | VA
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Zip | 23507-9982
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Country | US
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Telephone | 757-668-7293
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Fax |
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Provider Business Mailing Address
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Address Line | 36 FREEDOM RD
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City | SCARBOROUGH
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State | ME
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Zip | 04074-9663
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | MD26272
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License Number State | ME
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Taxonomy #2
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 1013205
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License Number State | MA
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