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General NPI Number Information
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NPI Number | 1184818122
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Entity Type | Individual
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Provider Name | PHILLIP H LAI PHARM.D.
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Gender | Male
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Dates
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Enumeration Date | 09/04/2007
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Last Update Date | 12/08/2016
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Provider Practice Location Address
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Address Line | 825 E RUNDBERG LN STE. B-1
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City | AUSTIN
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State | TX
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Zip | 78753-4808
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Country | US
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Telephone | 512-978-9600
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Fax | 512-978-9601
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Provider Business Mailing Address
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Address Line | 825 E RUNDBERG LN STE. B-1
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City | AUSTIN
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State | TX
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Zip | 78753-4808
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Country | US
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Telephone | 512-978-9600
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Fax | 512-978-9601
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 45478
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 1835P1300X
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Taxonomy Name | Psychiatric Pharmacist
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License Number | 45478
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License Number State | TX
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Taxonomy #3
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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 | 45478
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License Number State | TX
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