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General NPI Number Information
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NPI Number | 1831729037
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Entity Type | Individual
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Provider Name | KIMBERLY LAM
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Gender | Female
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Dates
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Enumeration Date | 01/16/2020
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Last Update Date | 09/15/2025
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Provider Practice Location Address
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Address Line | 104-70 QUEENS BLVD FLOOR 2
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City | FOREST HILLS
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State | NY
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Zip | 11375
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Country | US
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Telephone | 888-272-9355
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Fax |
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Provider Business Mailing Address
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Address Line | 54 ELIZABETH ST APT 22
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City | NEW YORK
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State | NY
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Zip | 10013-4621
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Country | US
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Telephone | 646-982-6612
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State |
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