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General NPI Number Information
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NPI Number | 1154403681
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Entity Type | Individual
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Provider Name | ROLAND TAM MD
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Gender | Male
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Dates
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Enumeration Date | 10/20/2006
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Last Update Date | 06/22/2016
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Provider Practice Location Address
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Address Line | 1959 NE PACIFIC ST C212, BOX 356340
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City | SEATTLE
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State | WA
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Zip | 98195-6340
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Country | US
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Telephone | 206-543-0065
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Fax |
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Provider Business Mailing Address
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Address Line | 23033 LYONS AVE SUITE 5
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City | NEWHALL
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State | CA
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Zip | 91321-2727
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | A108022
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License Number State | CA
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