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General NPI Number Information
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NPI Number | 1235472010
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Entity Type | Organization
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Legal Business Name | JULIE LAM OD, PLLC
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Dates
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Enumeration Date | 03/31/2013
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Last Update Date | 06/09/2013
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Provider Practice Location Address
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Address Line | 29605 N CAVE CREEK RD STE 102
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City | CAVE CREEK
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State | AZ
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Zip | 85331-2360
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Country | US
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Telephone | 480-241-7620
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Fax |
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Provider Business Mailing Address
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Address Line | 29605 N CAVE CREEK RD STE 102
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City | CAVE CREEK
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State | AZ
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Zip | 85331-2360
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OPTOMETRIST
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Name | DR. JULIE LAM
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Credential | O.D.
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Telephone | 480-241-7620
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 1694
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License Number State | AZ
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