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General NPI Number Information
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NPI Number | 1871469056
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Entity Type | Individual
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Provider Name | JENNY H LAM NP
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Gender | Female
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Dates
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Enumeration Date | 10/14/2025
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Last Update Date | 10/14/2025
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Provider Practice Location Address
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Address Line | 1801 W ROMNEYA DR STE 203
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City | ANAHEIM
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State | CA
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Zip | 92801-1824
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Country | US
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Telephone | 714-999-1465
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Fax |
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Provider Business Mailing Address
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Address Line | 543 VICTORIA ST APT J
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City | COSTA MESA
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State | CA
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Zip | 92627-5819
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Country | US
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Telephone | 714-787-9385
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | NP95030597
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License Number State | CA
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