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General NPI Number Information
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NPI Number | 1851037071
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Entity Type | Individual
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Provider Name | JANELLE LAMB LMSW
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Gender | Female
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Dates
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Enumeration Date | 05/10/2022
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Last Update Date | 05/10/2022
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Provider Practice Location Address
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Address Line | 2111 LOBO CANYON ROAD
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City | GRANTS
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State | NM
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Zip | 87020
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Country | US
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Telephone | 505-876-8326
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Fax |
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Provider Business Mailing Address
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Address Line | 1593 SPRING HILL RD STE 600
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City | VIENNA
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State | VA
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Zip | 22182-2252
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Country | US
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Telephone | 703-749-4600
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | M-10173
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License Number State | NM
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