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General NPI Number Information
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NPI Number | 1528037314
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Entity Type | Individual
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Provider Name | YUEN YU MARY LAM MS, ATC, LMT
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Gender | Female
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Dates
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Enumeration Date | 03/15/2006
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Last Update Date | 05/19/2008
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Provider Practice Location Address
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Address Line | 108 DIAMOND ST WASHINGTON AND LEE UNIVERSITY
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City | LEXINGTON
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State | VA
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Zip | 24450-2608
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Country | US
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Telephone | 540-458-8486
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Fax |
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Provider Business Mailing Address
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Address Line | 108 DIAMOND ST
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City | LEXINGTON
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State | VA
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Zip | 24450-2608
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Country | US
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Telephone | 954-661-6766
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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 | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number | 0126000803
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License Number State | VA
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