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General NPI Number Information
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NPI Number | 1831702810
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Entity Type | Individual
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Provider Name | AMY M LOMBARDO
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Gender | Female
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Dates
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Enumeration Date | 08/28/2020
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Last Update Date | 08/28/2020
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Provider Practice Location Address
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Address Line | 4055 VALLEY VIEW LN STE 700
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City | DALLAS
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State | TX
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Zip | 75244-5045
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Country | US
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Telephone | 512-755-5374
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Fax |
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Provider Business Mailing Address
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Address Line | 8598 LILLIAN DR
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City | WASHINGTON TWP
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State | MI
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Zip | 48094-3843
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Country | US
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Telephone | 586-292-7176
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 4704299292
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License Number State | MI
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