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General NPI Number Information
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NPI Number | 1528063484
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Entity Type | Individual
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Provider Name | TSU H LAI M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/16/2005
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Last Update Date | 09/28/2016
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Provider Practice Location Address
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Address Line | 8 ARISTOTLE
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City | IRVINE
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State | CA
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Zip | 92603-3619
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Country | US
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Telephone | 949-725-9499
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Fax | 949-387-0100
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Provider Business Mailing Address
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Address Line | 1127 EBBTIDE RD STE B
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City | CORONA DEL MAR
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State | CA
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Zip | 92625-1402
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Country | US
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Telephone | 949-706-3578
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Fax | 949-706-3578
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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 | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | A39956
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License Number State | CA
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