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General NPI Number Information
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NPI Number | 1932714151
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Entity Type | Individual
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Provider Name | MARY LAMBERT AP, MMP
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Gender | Female
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Dates
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Enumeration Date | 09/14/2020
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Last Update Date | 08/02/2023
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Provider Practice Location Address
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Address Line | 9990 COCONUT RD STE 239
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City | ESTERO
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State | FL
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Zip | 34135-8488
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Country | US
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Telephone | 239-390-1254
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Fax |
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Provider Business Mailing Address
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Address Line | 28520 ALESSANDRIA CIR
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City | BONITA SPRINGS
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State | FL
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Zip | 34135-8273
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Country | US
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Telephone | 239-248-6124
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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 | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | MA81277
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | AP4490
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License Number State | FL
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