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General NPI Number Information
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NPI Number | 1487817797
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Entity Type | Individual
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Provider Name | SHERRELL TONG LAM M.D.
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Gender | Female
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Dates
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Enumeration Date | 07/07/2008
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Last Update Date | 11/12/2024
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Provider Practice Location Address
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Address Line | 100 PINE ST STE 1250
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City | SAN FRANCISCO
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State | CA
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Zip | 94111-5235
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Country | US
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Telephone | 833-351-8255
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Fax |
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Provider Business Mailing Address
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Address Line | 8901 WISCONSIN AVE
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City | BETHESDA
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State | MD
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Zip | 20889-0004
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Country | US
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Telephone | 301-295-8785
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Fax | 301-391-2180
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 0101246613
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 0101246613
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License Number State | VA
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Taxonomy #3
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 332981
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License Number State | NY
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Taxonomy #4
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | MD61602129
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License Number State | WA
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Taxonomy #5
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | C172867
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License Number State | CA
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