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NPI 1467723627

NPI 1467723627 : ZORAYDA V. LAM RDH : NEWBERG, OR

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General NPI Number Information
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    NPI Number           |    1467723627
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    Entity Type          |    Individual 
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    Provider Name        |    ZORAYDA V. LAM RDH
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    01/19/2012
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    Last Update Date     |    01/19/2012
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Provider Practice Location Address
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    Address Line         |    28300 NE BELL RD 
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    City                 |    NEWBERG
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    State                |    OR
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    Zip                  |    97132-6685
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    Country              |    US
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    Telephone            |    503-913-6035
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    28300 NE BELL RD 
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    City                 |    NEWBERG
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    State                |    OR
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    Zip                  |    97132-6685
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    Country              |    US
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    Telephone            |    503-913-6035
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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        |    124Q00000X
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    Taxonomy Name        |    Dental Hygienist
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    License Number       |    H6094
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    License Number State |    OR
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