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General NPI Number Information
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NPI Number | 1205181575
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Entity Type | Organization
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Legal Business Name | LAM A, AU, M.D., PH.D., P.A.
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Dates
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Enumeration Date | 07/23/2012
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Last Update Date | 07/23/2012
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Provider Practice Location Address
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Address Line | 9275 SW 152ND ST SUITE 108A
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City | PALMETTO BAY
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State | FL
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Zip | 33157-1701
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Country | US
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Telephone | 305-255-2505
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Fax |
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Provider Business Mailing Address
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Address Line | 9275 SW 152ND ST SUITE 108A
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City | PALMETTO BAY
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State | FL
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Zip | 33157-1701
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Country | US
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Telephone | 305-255-2505
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | LAM A. AU
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Credential | M.D.
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Telephone | 305-255-2505
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | ME44386
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License Number State | FL
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