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General NPI Number Information
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NPI Number | 1336659655
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Entity Type | Organization
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Legal Business Name | HUYLAMDDS, PLLC
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Dates
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Enumeration Date | 10/02/2017
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Last Update Date | 10/02/2017
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Provider Practice Location Address
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Address Line | 13119 LOUETTA RD
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City | CYPRESS
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State | TX
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Zip | 77429-5155
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Country | US
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Telephone | 832-698-4648
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Fax |
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Provider Business Mailing Address
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Address Line | 6007 SATTLER PARK DR
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City | HOUSTON
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State | TX
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Zip | 77086-3418
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Country | US
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Telephone | 832-512-6855
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Fax |
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Authorized Official
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Title or Position | OWNER/DOCTOR
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Name | DR. HUY DIEP LAM
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Credential | DDS
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Telephone | 832-512-6855
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 31103
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License Number State | TX
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