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General NPI Number Information
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NPI Number | 1205807575
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Entity Type | Individual
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Provider Name | PATRICK CHAN-LAM MD
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Gender | Male
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Dates
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Enumeration Date | 01/27/2006
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Last Update Date | 02/07/2011
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Provider Practice Location Address
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Address Line | 825 WEHRLE DRIVE
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City | WILLIAMSVILLE
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State | NY
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Zip | 14221-1718
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Country | US
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Telephone | 716-634-3502
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Fax | 716-634-1930
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Provider Business Mailing Address
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Address Line | 825 WEHRLE DRIVE
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City | WILLIAMSVILLE
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State | NY
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Zip | 14221-1718
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Country | US
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Telephone | 716-634-3502
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Fax | 716-634-1930
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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 | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 209313
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License Number State | NY
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