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General NPI Number Information
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NPI Number | 1063404259
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Entity Type | Individual
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Provider Name | CUSTODIO L. LIM MD
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Gender | Male
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Dates
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Enumeration Date | 08/16/2005
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Last Update Date | 09/15/2017
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Provider Practice Location Address
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Address Line | 2235 WABASH AVE
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City | TERRE HAUTE
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State | IN
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Zip | 47807-3330
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Country | US
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Telephone | 812-234-5273
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Fax | 812-232-4714
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Provider Business Mailing Address
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Address Line | 2235 WABASH AVE
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City | TERRE HAUTE
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State | IN
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Zip | 47807-3330
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Country | US
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Telephone | 812-234-5273
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Fax | 812-232-4714
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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 | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 01035522
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License Number State | IN
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