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General NPI Number Information
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NPI Number | 1174606537
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Entity Type | Individual
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Provider Name | JERIKA T LAM PHARM.D.
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Gender | Female
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Dates
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Enumeration Date | 10/21/2006
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Last Update Date | 02/02/2012
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Provider Practice Location Address
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Address Line | 11262 CAMPUS ST WEST HALL BLDG
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City | LOMA LINDA
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State | CA
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Zip | 92354-3204
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Country | US
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Telephone | 909-558-7024
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Fax |
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Provider Business Mailing Address
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Address Line | 7538 MORNING MIST DR
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City | CORONA
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State | CA
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Zip | 92880-5547
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Country | US
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Telephone | 626-755-8758
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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 | 1835P0018X
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Taxonomy Name | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
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License Number | 56176
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License Number State | CA
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