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General NPI Number Information
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NPI Number | 1609946755
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Entity Type | Individual
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Provider Name | LYNETTE TERESA MCLAMB M.D.
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Gender | Female
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Dates
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Enumeration Date | 11/08/2006
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Last Update Date | 12/28/2012
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Provider Practice Location Address
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Address Line | 1033 3RD STREET KAISER PERMANENTE ADULT MEDICINE
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City | SAN RAFAEL
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State | CA
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Zip | 94901
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Country | US
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Telephone | 415-482-6825
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Fax | 415-482-6883
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Provider Business Mailing Address
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Address Line | PO BOX 400
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City | FOREST KNOLLS
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State | CA
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Zip | 94933-0400
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Country | US
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Telephone | 415-717-3016
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Fax | 415-482-6883
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | G062455
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License Number State | CA
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