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General NPI Number Information
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NPI Number | 1225532823
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Entity Type | Individual
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Provider Name | LAM NGOC PHAM MD
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Gender | Male
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Dates
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Enumeration Date | 03/20/2018
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Last Update Date | 08/11/2023
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Provider Practice Location Address
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Address Line | 2209 S STERLING ST STE 400
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City | MORGANTON
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State | NC
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Zip | 28655-4092
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Country | US
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Telephone | 828-580-4661
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Fax |
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Provider Business Mailing Address
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Address Line | 5221 PARAMOUNT PKWY STE 420
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City | MORRISVILLE
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State | NC
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Zip | 27560-5491
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Country | US
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Telephone | 984-974-2705
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 2023-01128
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License Number State | NC
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