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General NPI Number Information
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NPI Number | 1639546054
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Entity Type | Individual
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Provider Name | HAI LAM FNP-C
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Gender | Male
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Dates
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Enumeration Date | 09/02/2015
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Last Update Date | 10/20/2015
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Provider Practice Location Address
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Address Line | 102 MILE OF CARS WAY U.S. HEALTHWORKS MEDICAL GROUP (MULTIPLE LOCATION)
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City | NATIONAL CITY
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State | CA
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Zip | 91950-6603
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Country | US
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Telephone | 619-474-9211
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Fax |
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Provider Business Mailing Address
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Address Line | 4529 MYRTLE AVE
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City | SAN DIEGO
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State | CA
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Zip | 92105-3528
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Country | US
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Telephone | 619-817-1603
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 95003301
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License Number State | CA
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