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General NPI Number Information
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NPI Number | 1063755791
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Entity Type | Individual
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Provider Name | AIMEE NGUYEN LAM M.D.
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Gender | Female
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Dates
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Enumeration Date | 04/01/2013
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Last Update Date | 09/29/2020
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Provider Practice Location Address
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Address Line | 1703 S MERIDIAN STE 100
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City | PUYALLUP
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State | WA
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Zip | 98371-7590
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Country | US
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Telephone | 253-848-3000
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Fax | 253-845-8750
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Provider Business Mailing Address
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Address Line | 1703 S MERIDIAN STE 101
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City | PUYALLUP
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State | WA
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Zip | 98371-7590
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Country | US
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Telephone | 253-848-3000
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Fax | 253-840-6514
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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 | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | D84726
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | MD463596
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | R3547
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License Number State | TX
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Taxonomy #4
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | MD61038945
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License Number State | WA
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