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General NPI Number Information
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NPI Number | 1851783880
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Entity Type | Organization
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Legal Business Name | SOPHIE LAM-GERMANY LLC
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Dates
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Enumeration Date | 02/27/2015
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Last Update Date | 02/27/2015
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Provider Practice Location Address
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Address Line | 2629 W I 44 SERVICE RD STE 213
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City | OKLAHOMA CITY
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State | OK
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Zip | 73112-3762
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Country | US
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Telephone | 405-206-7802
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 890788
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City | OKLAHOMA CITY
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State | OK
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Zip | 73189-0788
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | SOLE PROPRIETOR, LCSW
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Name | SOPHIE LAM GERMANY
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Credential |
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Telephone | 405-206-7802
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 3829
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License Number State | OK
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