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General NPI Number Information
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NPI Number | 1497989800
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Entity Type | Individual
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Provider Name | DANIEL LAI MD
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Gender | Male
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Dates
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Enumeration Date | 05/13/2009
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Last Update Date | 04/01/2025
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Provider Practice Location Address
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Address Line | 240 N WICKHAM RD STE 309
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City | MELBOURNE
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State | FL
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Zip | 32935-8661
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Country | US
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Telephone | 321-752-1630
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Fax | 321-690-6578
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Provider Business Mailing Address
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Address Line | 240 N WICKHAM RD STE 309
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City | MELBOURNE
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State | FL
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Zip | 32935-8661
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Country | US
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Telephone | 321-752-1630
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Fax | 321-690-6578
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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 | 204D00000X
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Taxonomy Name | Neuromusculoskeletal Medicine & OMM Physician
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License Number | MT192814
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | 35123456
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 2084N0600X
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Taxonomy Name | Clinical Neurophysiology Physician
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License Number | 35123456
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License Number State | OH
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Taxonomy #4
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | ME129764
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License Number State | FL
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