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General NPI Number Information
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NPI Number | 1437209046
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Entity Type | Individual
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Provider Name | BENH D LAM O.D.
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Gender | Male
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Dates
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Enumeration Date | 01/12/2007
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Last Update Date | 10/14/2009
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Provider Practice Location Address
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Address Line | 2100 N BELLFLOWER BLVD
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City | LONG BEACH
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State | CA
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Zip | 90815-3126
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Country | US
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Telephone | 562-431-3066
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Fax | 562-431-3969
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Provider Business Mailing Address
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Address Line | 4315 FANDON AVE
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City | EL MONTE
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State | CA
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Zip | 91732-1917
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Country | US
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Telephone | 626-232-1560
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 12427
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License Number State | CA
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