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General NPI Number Information
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NPI Number | 1558878835
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Entity Type | Organization
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Legal Business Name | KEVIN LAM MD PLLC
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Dates
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Enumeration Date | 01/08/2018
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Last Update Date | 09/04/2022
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Provider Practice Location Address
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Address Line | 26 COURT ST STE 709
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City | BROOKLYN
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State | NY
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Zip | 11242-1107
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Country | US
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Telephone | 646-504-4680
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Fax |
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Provider Business Mailing Address
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Address Line | 320 77TH ST APT 3A
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City | BROOKLYN
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State | NY
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Zip | 11209-3158
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Country | US
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Telephone | 646-504-4680
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Fax |
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Authorized Official
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Title or Position | MEMBER
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Name | DR. KEVIN LAM
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Credential | MD
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Telephone | 917-232-4537
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number | 248451
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License Number State | NY
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