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General NPI Number Information
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NPI Number | 1992353452
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Entity Type | Organization
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Legal Business Name | ADRIAN W. LAU, DDS PLLC
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Dates
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Enumeration Date | 08/28/2019
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Last Update Date | 08/28/2019
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Provider Practice Location Address
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Address Line | 2922 NORTHERN BLVD
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City | LONG ISLAND CITY
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State | NY
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Zip | 11101-4079
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Country | US
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Telephone | 914-418-4479
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Fax |
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Provider Business Mailing Address
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Address Line | 240 E 82ND ST APT 16G
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City | NEW YORK
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State | NY
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Zip | 10028-2736
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Country | US
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Telephone | 617-230-3800
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Fax |
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Authorized Official
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Title or Position | MEMBER
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Name | DR. ADRIAN W LAU
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Credential | DDS
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Telephone | 617-230-3800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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