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General NPI Number Information
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NPI Number | 1316608748
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Entity Type | Individual
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Provider Name | ANDREW LAM CAO RN
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Gender | Male
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Dates
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Enumeration Date | 01/07/2022
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Last Update Date | 01/10/2024
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Provider Practice Location Address
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Address Line | 2640 MARTIN LUTHER KING JR WAY
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City | BERKELEY
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State | CA
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Zip | 94704-3238
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Country | US
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Telephone | 510-981-5290
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Fax |
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Provider Business Mailing Address
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Address Line | 3939 MONROE AVE APT 217
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City | FREMONT
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State | CA
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Zip | 94536-6951
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Country | US
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Telephone | 415-307-8910
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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 | 163WP0808X
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Taxonomy Name | Psychiatric/Mental Health Registered Nurse
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License Number | 95253275
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 163WP0809X
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Taxonomy Name | Adult Psychiatric/Mental Health Registered Nurse
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License Number | 95253275
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License Number State | CA
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