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General NPI Number Information
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NPI Number | 1871238485
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Entity Type | Individual
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Provider Name | KAROLYN LAM D.O.
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Gender | Female
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Dates
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Enumeration Date | 04/28/2022
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Last Update Date | 10/17/2023
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Provider Practice Location Address
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Address Line | 98-1005 MOANALUA ROAD
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City | AIEA
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State | HI
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Zip | 96701
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Country | US
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Telephone | 808-203-7476
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Fax |
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Provider Business Mailing Address
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Address Line | 98-1005 MOANALUA ROAD SUITE 3030
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City | AIEA
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State | HI
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Zip | 96701
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Country | US
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Telephone | 808-627-3200
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | DOSR-562
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License Number State | HI
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