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General NPI Number Information
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NPI Number | 1942355169
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Entity Type | Individual
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Provider Name | JULIETT PHAN LAM O.D.
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Gender | Female
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Dates
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Enumeration Date | 01/25/2007
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Last Update Date | 09/17/2022
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Provider Practice Location Address
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Address Line | 13709 STATE HIGHWAY 249
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City | HOUSTON
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State | TX
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Zip | 77086-2705
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Country | US
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Telephone | 346-490-3319
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Fax | 346-456-4010
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Provider Business Mailing Address
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Address Line | 15539 FOREST CREEK FARMS DR
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City | CYPRESS
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State | TX
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Zip | 77429-4431
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Country | US
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Telephone | 713-423-9532
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Fax | 346-456-3319
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 6784 TG
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License Number State | TX
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