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General NPI Number Information
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NPI Number | 1134568306
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Entity Type | Individual
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Provider Name | CHUNWEI WALTER LAI M.D., PH.D.
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Gender | Male
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Dates
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Enumeration Date | 06/20/2013
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Last Update Date | 07/18/2023
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Provider Practice Location Address
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Address Line | 11110 MEDICAL CAMPUS RD STE 246
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City | HAGERSTOWN
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State | MD
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Zip | 21742-6756
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Country | US
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Telephone | 301-665-4585
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Fax |
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Provider Business Mailing Address
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Address Line | 11110 MEDICAL CAMPUS RD STE 246
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City | HAGERSTOWN
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State | MD
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Zip | 21742-6756
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Country | US
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Telephone |
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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 | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | D96225
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | MD458201
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number | MT203510
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License Number State | PA
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