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General NPI Number Information
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NPI Number | 1902742042
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Entity Type | Organization
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Legal Business Name | LAM CHIROPRACTIC PLLC
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Dates
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Enumeration Date | 04/28/2026
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Last Update Date | 04/28/2026
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Provider Practice Location Address
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Address Line | 190 S UNIVERSITY DR
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City | PEMBROKE PINES
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State | FL
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Zip | 33025-2234
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Country | US
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Telephone | 954-433-0300
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Fax |
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Provider Business Mailing Address
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Address Line | 11633 SW 59TH CT
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City | COOPER CITY
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State | FL
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Zip | 33330-4157
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Country | US
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Telephone | 954-931-0472
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DIANA LAM
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Credential | DC
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Telephone | 954-931-0472
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number |
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License Number State |
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