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General NPI Number Information
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NPI Number | 1215819826
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Entity Type | Individual
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Provider Name | KHOI LAM PMHNP
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Gender | Male
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Dates
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Enumeration Date | 07/24/2025
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Last Update Date | 11/18/2025
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Provider Practice Location Address
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Address Line | 710 N EUCLID ST STE 208
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City | ANAHEIM
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State | CA
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Zip | 92801-4132
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Country | US
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Telephone | 714-725-0608
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1395
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City | WESTMINSTER
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State | CA
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Zip | 92684-1395
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Country | US
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Telephone | 714-725-0608
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 95036170
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License Number State | CA
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