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General NPI Number Information
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NPI Number | 1912166968
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Entity Type | Individual
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Provider Name | JEANNE C LAMMERING MD
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Gender | Female
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Dates
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Enumeration Date | 06/05/2008
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Last Update Date | 07/16/2016
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Provider Practice Location Address
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Address Line | 1144 CORDOVA AVE
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City | GLENDALE
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State | CA
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Zip | 91207-1751
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Country | US
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Telephone | 310-780-6688
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Fax |
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Provider Business Mailing Address
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Address Line | 10 PICO ST
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City | PASADENA
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State | CA
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Zip | 91105-3201
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Country | US
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Telephone | 626-397-5840
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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 | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | A108884
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License Number State | CA
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