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General NPI Number Information
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NPI Number | 1447132329
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Entity Type | Individual
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Provider Name | DENNIS LAM
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Gender | Male
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Dates
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Enumeration Date | 07/22/2025
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Last Update Date | 07/22/2025
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Provider Practice Location Address
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Address Line | 2489 CALIFORNIA AVE
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City | CORONA
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State | CA
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Zip | 92881-6600
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Country | US
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Telephone | 951-888-0006
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Fax |
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Provider Business Mailing Address
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Address Line | 629 SHENANDOAH RD
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City | CORONA
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State | CA
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Zip | 92879-8509
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Country | US
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Telephone | 951-888-0006
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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 | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 27550
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License Number State | CA
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