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General NPI Number Information
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NPI Number | 1659920627
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Entity Type | Individual
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Provider Name | CHELSEA LAM PHARMD
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Gender | Female
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Dates
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Enumeration Date | 09/11/2019
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Last Update Date | 09/11/2019
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Provider Practice Location Address
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Address Line | 3150 GAMMON LN
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City | CLEMMONS
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State | NC
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Zip | 27012-9052
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Country | US
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Telephone | 336-293-9704
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Fax |
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Provider Business Mailing Address
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Address Line | 150 PETERS CREEK PKWY APT 104
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City | WINSTON SALEM
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State | NC
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Zip | 27101-3682
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Country | US
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Telephone | 801-652-5646
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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 | 29049
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License Number State | NC
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