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General NPI Number Information
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NPI Number | 1912505389
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Entity Type | Individual
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Provider Name | ROBERT STEVENS LUMPFORD
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Gender | Male
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Dates
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Enumeration Date | 10/16/2020
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Last Update Date | 01/24/2022
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Provider Practice Location Address
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Address Line | 2813 SEMINARY CIR
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City | GARLAND
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State | TX
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Zip | 75043-1210
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Country | US
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Telephone | 214-578-2639
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Fax | 469-249-3517
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Provider Business Mailing Address
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Address Line | 1209 NORTHWEST HWY # 160
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City | GARLAND
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State | TX
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Zip | 75041-5835
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Country | US
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Telephone | 214-478-4198
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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 | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number | 021263
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License Number State | TX
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