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General NPI Number Information
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NPI Number | 1669190930
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Entity Type | Individual
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Provider Name | LAURA ESTEFANY LAM LAU
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Gender | Female
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Dates
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Enumeration Date | 08/22/2022
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Last Update Date | 08/22/2022
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Provider Practice Location Address
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Address Line | 35753 OWENS RD
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City | HEMPSTEAD
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State | TX
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Zip | 77445-6902
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Country | US
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Telephone | 936-931-0395
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Fax |
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Provider Business Mailing Address
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Address Line | 12613 SEATTLE SLEW DR APT 3101
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City | JERSEY VILLAGE
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State | TX
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Zip | 77065-5524
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Country | US
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Telephone | 313-782-1729
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 117513
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License Number State | TX
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