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General NPI Number Information
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NPI Number | 1871104455
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Entity Type | Individual
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Provider Name | STEVEN LAM DMD
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Gender | Male
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Dates
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Enumeration Date | 08/16/2020
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Last Update Date | 08/16/2020
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Provider Practice Location Address
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Address Line | 9516 W FLAMINGO RD STE 200
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City | LAS VEGAS
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State | NV
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Zip | 89147-5750
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Country | US
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Telephone | 702-254-3135
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Fax |
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Provider Business Mailing Address
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Address Line | 9258 DESERT HEAT AVE
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City | LAS VEGAS
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State | NV
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Zip | 89178-6219
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Country | US
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Telephone | 702-266-5497
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 7371
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License Number State | NV
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