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General NPI Number Information
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NPI Number | 1417568163
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Entity Type | Individual
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Provider Name | ANDREW LAI PHARM.D
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Gender | Male
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Dates
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Enumeration Date | 08/14/2020
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Last Update Date | 08/14/2020
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Provider Practice Location Address
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Address Line | 3801 FM 3009
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City | SCHERTZ
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State | TX
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Zip | 78154-1132
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Country | US
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Telephone | 210-566-3245
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Fax |
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Provider Business Mailing Address
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Address Line | 17715 OVERLOOK LOOP APT 11206
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City | SAN ANTONIO
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State | TX
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Zip | 78259-1796
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Country | US
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Telephone | 504-701-2843
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 2617761
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License Number State | TX
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