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General NPI Number Information
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NPI Number | 1508343443
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Entity Type | Individual
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Provider Name | SELENA P LAM-JIANG OD
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Gender | Female
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Dates
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Enumeration Date | 07/24/2018
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Last Update Date | 12/03/2025
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Provider Practice Location Address
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Address Line | 37522 DEQUINDRE RD
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City | STERLING HEIGHTS
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State | MI
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Zip | 48310-3511
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Country | US
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Telephone | 586-737-3937
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Fax | 586-884-0701
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Provider Business Mailing Address
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Address Line | 47300 ROLAND ST
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City | SHELBY TOWNSHIP
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State | MI
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Zip | 48317-2945
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Country | US
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Telephone |
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 4901005150
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License Number State | MI
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