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General NPI Number Information
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NPI Number | 1871859363
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Entity Type | Organization
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Legal Business Name | PAM CHIN-LAI, INC
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Dates
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Enumeration Date | 04/09/2012
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Last Update Date | 04/09/2012
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Provider Practice Location Address
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Address Line | 17300 PRESTON RD SUITE 160
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City | DALLAS
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State | TX
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Zip | 75252-5654
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Country | US
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Telephone | 972-930-0766
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Fax | 972-733-6564
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Provider Business Mailing Address
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Address Line | 17300 PRESTON RD SUITE 160
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City | DALLAS
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State | TX
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Zip | 75252-5654
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Country | US
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Telephone | 972-930-0766
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Fax | 972-733-6564
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Authorized Official
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Title or Position | DIETITAN
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Name | PAM CHIN-LAI
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Credential | RD LD
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Telephone | 972-930-0766
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number | DT 03252
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License Number State | TX
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