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General NPI Number Information
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NPI Number | 1982797676
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Entity Type | Individual
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Provider Name | JOHN S LAM PHARMD
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Gender | Male
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Dates
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Enumeration Date | 10/02/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 7575 LINDA VISTA RD APT 44
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City | SAN DIEGO
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State | CA
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Zip | 92111-5323
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Country | US
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Telephone | 619-793-9539
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Fax | 619-528-5884
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Provider Business Mailing Address
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Address Line | 7575 LINDA VISTA RD APT 44
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City | SAN DIEGO
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State | CA
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Zip | 92111-5323
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Country | US
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Telephone | 619-793-9539
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Fax | 619-528-5884
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | RPH 57547
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License Number State | CA
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