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General NPI Number Information
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NPI Number | 1063679751
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Entity Type | Organization
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Legal Business Name | JIMMY U LIM MD
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Dates
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Enumeration Date | 05/20/2008
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Last Update Date | 06/25/2008
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Provider Practice Location Address
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Address Line | 365 BROADWAY STE 4
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City | AMITYVILLE
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State | NY
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Zip | 11701-2716
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Country | US
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Telephone | 516-520-0504
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Fax |
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Provider Business Mailing Address
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Address Line | 32 DOWNEY CT
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City | HUNTINGTON
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State | NY
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Zip | 11743-5160
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Country | US
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Telephone | 516-520-0504
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JIMMY U LIM
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Credential | MD
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Telephone | 516-520-0504
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number |
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License Number State |
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