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General NPI Number Information
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NPI Number | 1871622050
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Entity Type | Individual
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Provider Name | CAROL ANN LAMBERT OTR
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Gender | Female
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Dates
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Enumeration Date | 03/05/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1200 DUDLEY RD
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City | KILGORE
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State | TX
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Zip | 75662-3306
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Country | US
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Telephone | 903-984-5571
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Fax |
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Provider Business Mailing Address
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Address Line | 269 COUNTY ROAD 3589
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City | WINNSBORO
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State | TX
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Zip | 75494-5072
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Country | US
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Telephone | 903-857-2368
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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 | 261QR0401X
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Taxonomy Name | Comprehensive Outpatient Rehabilitation Facility (CORF)
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License Number | 100835
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License Number State | TX
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