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General NPI Number Information
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NPI Number | 1639156938
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Entity Type | Individual
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Provider Name | WILLIAM D. LAMM M.D.
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Gender | Male
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Dates
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Enumeration Date | 12/28/2005
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Last Update Date | 11/11/2010
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Provider Practice Location Address
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Address Line | 12500 WILLOWBROOK RD
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City | CUMBERLAND
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State | MD
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Zip | 21502-6393
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Country | US
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Telephone | 240-964-8564
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Fax | 240-964-8563
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Provider Business Mailing Address
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Address Line | 1057 RICHWOOD AVE
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City | CUMBERLAND
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State | MD
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Zip | 21502-1926
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Country | US
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Telephone | 240-522-0123
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Fax | 240-522-0104
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | D0025406
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License Number State | MD
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