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General NPI Number Information
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NPI Number | 1841488798
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Entity Type | Individual
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Provider Name | FRED KELLEY LAMB M.D.
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Gender | Male
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Dates
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Enumeration Date | 10/04/2007
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Last Update Date | 04/10/2008
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Provider Practice Location Address
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Address Line | 1019 E SPRINGHILL DR
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City | TERRE HAUTE
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State | IN
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Zip | 47802-4547
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Country | US
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Telephone | 812-298-9797
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Fax | 812-298-0343
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Provider Business Mailing Address
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Address Line | PO BOX 7058
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City | TERRE HAUTE
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State | IN
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Zip | 47802-7058
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Country | US
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Telephone | 812-298-9797
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Fax | 812-298-0343
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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 | 2081P2900X
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Taxonomy Name | Pain Medicine (Physical Medicine & Rehabilitation) Physician
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License Number | 01022230
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License Number State | IN
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