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General NPI Number Information
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NPI Number | 1891880043
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Entity Type | Individual
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Provider Name | JEFF LAM PT, CSCS
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Gender | Male
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Dates
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Enumeration Date | 10/04/2006
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Last Update Date | 06/16/2015
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Provider Practice Location Address
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Address Line | 200 BRANNAN STREET SUITE 340
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City | SAN FRANCISCO
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State | CA
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Zip | 94107-6011
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Country | US
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Telephone | 650-888-8872
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Fax |
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Provider Business Mailing Address
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Address Line | 219 BRANNAN ST STE A
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City | SAN FRANCISCO
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State | CA
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Zip | 94107-6026
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Country | US
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Telephone | 650-888-8872
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT27810
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License Number State | CA
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