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General NPI Number Information
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NPI Number | 1386527562
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Entity Type | Individual
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Provider Name | MAN CHING LAM NP
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Gender | Male
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Dates
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Enumeration Date | 07/28/2025
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Last Update Date | 01/07/2026
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Provider Practice Location Address
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Address Line | 1703 CIVIC CENTER DR STE 5A
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City | NORTH LAS VEGAS
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State | NV
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Zip | 89030-7273
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Country | US
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Telephone | 725-444-1173
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Fax |
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Provider Business Mailing Address
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Address Line | 1703 CIVIC CENTER DR STE 5A
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City | NORTH LAS VEGAS
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State | NV
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Zip | 89030-7273
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Country | US
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Telephone | 725-444-1173
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 892442
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License Number State | NV
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Taxonomy #2
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | 892442
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License Number State | NV
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