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General NPI Number Information
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NPI Number | 1891949350
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Entity Type | Organization
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Legal Business Name | TUAN T LAM MD INC
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Dates
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Enumeration Date | 11/11/2008
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Last Update Date | 03/06/2009
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Provider Practice Location Address
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Address Line | 11190 WARNER AVENUE SUITE 303
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City | FOUNTAIN VALLEY
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State | CA
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Zip | 92708-4047
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Country | US
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Telephone | 714-708-0500
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Fax | 714-708-0500
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Provider Business Mailing Address
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Address Line | 11190 WARNER AVENUE SUITE 303
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City | FOUNTAIN VALLEY
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State | CA
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Zip | 92708-4047
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Country | US
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Telephone | 714-708-0500
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Fax | 704-708-0500
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Authorized Official
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Title or Position | OWNER/PHYSICIAN
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Name | DR. TUAN T. LAM
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Credential | M.D.
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Telephone | 714-708-0500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | A69720
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License Number State | CA
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