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General NPI Number Information
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NPI Number | 1881267011
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Entity Type | Individual
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Provider Name | CINDY LAM PA-C
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Gender | Female
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Dates
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Enumeration Date | 07/24/2021
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Last Update Date | 11/28/2024
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Provider Practice Location Address
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Address Line | 55 FRUIT ST
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City | BOSTON
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State | MA
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Zip | 02114-2621
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Country | US
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Telephone | 978-287-3436
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Fax |
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Provider Business Mailing Address
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Address Line | 20 PROSPECT ST APT 538
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City | SOMERVILLE
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State | MA
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Zip | 02143-3474
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Country | US
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Telephone | 718-431-3171
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 027206
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA100202
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License Number State | MA
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