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General NPI Number Information
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NPI Number | 1689931578
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Entity Type | Organization
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Legal Business Name | NATALIE LAM, DMD, PC
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Dates
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Enumeration Date | 04/16/2012
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Last Update Date | 06/24/2012
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Provider Practice Location Address
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Address Line | 5951 LA SENDITA SUITE B1
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City | RANCHO SANTA FE
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State | CA
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Zip | 92067
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Country | US
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Telephone | 858-756-5900
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Fax | 858-381-5220
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Provider Business Mailing Address
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Address Line | PO BOX 305
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City | RANCHO SANTA FE
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State | CA
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Zip | 92067-0305
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Country | US
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Telephone | 858-756-5900
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Fax | 858-381-5220
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | DR. NATALIE LAM
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Credential | DMD, MMSC
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Telephone | 858-774-1074
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | 59300
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License Number State | CA
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