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General NPI Number Information
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NPI Number | 1982025029
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Entity Type | Organization
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Legal Business Name | ADAM LAU, LLC
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Dates
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Enumeration Date | 12/16/2013
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Last Update Date | 12/16/2013
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Provider Practice Location Address
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Address Line | 102 PARK AVE
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City | YONKERS
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State | NY
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Zip | 10703-2934
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Country | US
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Telephone | 914-564-1617
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 438
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City | YONKERS
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State | NY
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Zip | 10703-0438
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ADAM LAU
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Credential | MD
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Telephone | 914-564-1617
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number | 259106
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License Number State | NY
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