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General NPI Number Information
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NPI Number | 1841828647
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Entity Type | Individual
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Provider Name | DAVID DU LAM MD, MS
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Gender | Male
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Dates
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Enumeration Date | 03/29/2020
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Last Update Date | 04/15/2025
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Provider Practice Location Address
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Address Line | 529 S JACKSON ST FL 3
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City | LOUISVILLE
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State | KY
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Zip | 40202-3229
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Country | US
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Telephone | 502-561-7268
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Fax |
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Provider Business Mailing Address
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Address Line | 39000 BOB HOPE DR STE P202
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City | RANCHO MIRAGE
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State | CA
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Zip | 92270-7018
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Country | US
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Telephone | 760-276-3716
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number | A201912
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License Number State | CA
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