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General NPI Number Information
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NPI Number | 1215051982
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Entity Type | Individual
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Provider Name | STEVEN LAM RPA-C
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Gender | Male
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Dates
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Enumeration Date | 03/19/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 130 E 77TH ST 13TH FLOOR
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City | NEW YORK
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State | NY
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Zip | 10021-1851
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Country | US
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Telephone | 212-434-3420
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Fax | 212-434-3410
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Provider Business Mailing Address
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Address Line | 25905 KENSINGTON PL
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City | GREAT NECK
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State | NY
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Zip | 11020-1248
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Country | US
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Telephone | 516-482-1880
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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 | 363AS0400X
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Taxonomy Name | Surgical Physician Assistant
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License Number | 006031
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License Number State | NY
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