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General NPI Number Information
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NPI Number | 1073917068
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Entity Type | Individual
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Provider Name | DEL LAM O.D.
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Gender | Male
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Dates
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Enumeration Date | 10/20/2014
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Last Update Date | 10/20/2014
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Provider Practice Location Address
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Address Line | 29 THE SHOPS AT MISSION VIEJO
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City | MISSION VIEJO
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State | CA
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Zip | 92691-6530
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Country | US
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Telephone | 949-364-2256
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Fax |
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Provider Business Mailing Address
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Address Line | 1059 N ANTONIO CIR
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City | ORANGE
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State | CA
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Zip | 92869-1966
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Country | US
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Telephone | 714-307-2515
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 15140
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 152WC0802X
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Taxonomy Name | Corneal and Contact Management Optometrist
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License Number | 15140
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 152WL0500X
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Taxonomy Name | Low Vision Rehabilitation Optometrist
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License Number | 15140
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License Number State | CA
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