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NPI 1992918544

NPI 1992918544 : LAM GIA TRIEU OTR.L : FREMONT, CA

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General NPI Number Information
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    NPI Number           |    1992918544
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    Entity Type          |    Individual 
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    Provider Name        |    LAM GIA TRIEU OTR.L
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    05/08/2007
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    Last Update Date     |    08/11/2018
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Provider Practice Location Address
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    Address Line         |    2000 MOWRY AVE 
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    City                 |    FREMONT
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    State                |    CA
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    Zip                  |    94538
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    Country              |    US
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    Telephone            |    501-797-1111
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    405 RANCHO ARROYO PKWY APT 66 
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    City                 |    FREMONT
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    State                |    CA
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    Zip                  |    94536-2757
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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    |    
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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        |    225X00000X
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    Taxonomy Name        |    Occupational Therapist
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    License Number       |    7583
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    License Number State |    CA
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