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General NPI Number Information
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NPI Number | 1023572039
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Entity Type | Individual
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Provider Name | HYO JOO LIM FNP-C
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Gender | Female
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Dates
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Enumeration Date | 01/23/2019
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Last Update Date | 09/01/2021
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Provider Practice Location Address
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Address Line | 266 S HARVARD BLVD STE 366
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City | LOS ANGELES
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State | CA
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Zip | 90004-3987
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Country | US
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Telephone | 213-413-2622
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Fax |
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Provider Business Mailing Address
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Address Line | 3959 TROPICAL DR
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City | STUDIO CITY
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State | CA
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Zip | 91604-3132
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Country | US
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Telephone | 213-278-3617
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 95010915
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License Number State | CA
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