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General NPI Number Information
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NPI Number | 1376477109
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Entity Type | Individual
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Provider Name | KANNIKA LAM
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Gender | Female
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Dates
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Enumeration Date | 06/09/2026
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Last Update Date | 06/09/2026
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Provider Practice Location Address
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Address Line | 350 POTRERO AVE
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City | SUNNYVALE
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State | CA
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Zip | 94085-4116
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Country | US
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Telephone | 888-926-9385
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Fax | 408-716-2762
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Provider Business Mailing Address
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Address Line | 157 LOTTIE LN
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City | CAMPBELL
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State | CA
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Zip | 95008-3075
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Country | US
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Telephone | 415-990-0741
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 752673
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 171400000X
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Taxonomy Name | Health & Wellness Coach
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License Number | A-3667363
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License Number State | CA
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