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General NPI Number Information
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NPI Number | 1194749945
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Entity Type | Individual
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Provider Name | RICHARD CK LAM RPH
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Gender | Male
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Dates
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Enumeration Date | 07/26/2006
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Last Update Date | 07/22/2009
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Provider Practice Location Address
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Address Line | 2245 EASTERN AVE
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City | BALTIMORE
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State | MD
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Zip | 21231-3113
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Country | US
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Telephone | 410-675-6046
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Fax | 410-563-1147
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Provider Business Mailing Address
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Address Line | 2804 DANA CT
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City | ELLICOTT CITY
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State | MD
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Zip | 21042-2500
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Country | US
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Telephone | 410-461-2113
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Fax | 410-563-1147
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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 | 08965
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License Number State | MD
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