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General NPI Number Information
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NPI Number | 1821328642
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Entity Type | Individual
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Provider Name | ERIC P LAMBOUSY P.T.
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Gender | Male
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Dates
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Enumeration Date | 12/29/2009
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Last Update Date | 12/29/2009
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Provider Practice Location Address
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Address Line | 1322 ELTON ROAD SUITE I
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City | JENNINGS
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State | LA
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Zip | 70546
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Country | US
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Telephone | 337-824-5488
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Fax | 337-824-5494
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Provider Business Mailing Address
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Address Line | 1322 ELTON RD SUITE I
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City | JENNINGS
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State | LA
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Zip | 70546-4100
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Country | US
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Telephone | 337-824-5488
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Fax | 337-824-5494
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 03602
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License Number State | LA
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