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General NPI Number Information
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NPI Number | 1780722884
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Entity Type | Individual
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Provider Name | AUSTIN J LAMBE
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Gender | Male
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Dates
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Enumeration Date | 02/01/2007
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Last Update Date | 06/18/2014
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Provider Practice Location Address
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Address Line | 1550 TREAT AVE
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City | SAN FRANCISCO
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State | CA
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Zip | 94110-5234
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Country | US
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Telephone | 415-641-8000
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Fax | 415-641-8002
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Provider Business Mailing Address
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Address Line | 1550 TREAT AVE
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City | SAN FRANCISCO
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State | CA
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Zip | 94110-5234
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Country | US
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Telephone | 415-641-8000
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Fax | 415-641-8002
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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 | 103TB0200X
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Taxonomy Name | Cognitive & Behavioral Psychologist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | 1000274
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License Number State | FL
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