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General NPI Number Information
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NPI Number | 1801449954
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Entity Type | Individual
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Provider Name | KENNETH ANTHONY LAI DPM
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Gender | Male
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Dates
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Enumeration Date | 07/18/2019
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Last Update Date | 04/26/2024
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Provider Practice Location Address
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Address Line | 770 NEWTOWN YARDLEY RD STE 215
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City | NEWTOWN
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State | PA
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Zip | 18940-4501
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Country | US
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Telephone | 215-968-8700
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Fax | 215-968-8523
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Provider Business Mailing Address
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Address Line | 770 NEWTOWN YARDLEY RD STE 215
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City | NEWTOWN
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State | PA
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Zip | 18940-4501
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Country | US
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Telephone | 215-968-8700
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Fax | 215-968-8523
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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 | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | SC007014
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | SC007014
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License Number State | PA
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