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General NPI Number Information
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NPI Number | 1801385786
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Entity Type | Individual
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Provider Name | KELLI LAMBERT FNP
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Gender | Female
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Dates
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Enumeration Date | 05/06/2018
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Last Update Date | 08/24/2021
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Provider Practice Location Address
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Address Line | 8102 CLEARVISTA PKWY
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City | INDIANAPOLIS
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State | IN
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Zip | 46256
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Country | US
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Telephone | 317-849-8222
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Fax |
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Provider Business Mailing Address
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Address Line | 8667 FLUVIA TER APT 1B
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City | INDIANAPOLIS
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State | IN
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Zip | 46250-3238
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Country | US
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Telephone | 317-260-9989
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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 | 71008017A
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License Number State | IN
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