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General NPI Number Information
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NPI Number | 1487389383
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Entity Type | Individual
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Provider Name | ANGELA LAM LAC
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Gender | Female
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Dates
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Enumeration Date | 07/24/2022
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Last Update Date | 08/31/2022
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Provider Practice Location Address
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Address Line | 520 FRANKLIN AVE STE 152
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City | GARDEN CITY
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State | NY
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Zip | 11530-5877
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Country | US
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Telephone | 347-925-6995
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Fax |
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Provider Business Mailing Address
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Address Line | 13236 41ST AVE BSMT
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City | FLUSHING
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State | NY
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Zip | 11355-4167
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Country | US
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Telephone | 347-882-5628
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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 | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | 007121-01
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License Number State | NY
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