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General NPI Number Information
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NPI Number | 1649643586
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Entity Type | Individual
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Provider Name | DAVID ANDREW LAI PHARMD
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Gender | Male
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Dates
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Enumeration Date | 10/31/2015
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Last Update Date | 10/31/2015
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Provider Practice Location Address
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Address Line | 1707 GRANT AVE
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City | NOVATO
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State | CA
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Zip | 94945-2229
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Country | US
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Telephone | 415-897-4171
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Fax |
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Provider Business Mailing Address
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Address Line | 623 CLARIDGE DR
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City | PACIFICA
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State | CA
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Zip | 94044-2102
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Country | US
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Telephone | 714-876-8837
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 62500
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License Number State | CA
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