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General NPI Number Information
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NPI Number | 1083166870
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Entity Type | Individual
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Provider Name | AMBER RAE LIM PHARMD
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Gender | Female
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Dates
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Enumeration Date | 10/27/2016
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Last Update Date | 10/29/2024
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Provider Practice Location Address
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Address Line | 11530 N TRYON ST
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City | CHARLOTTE
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State | NC
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Zip | 28262-0459
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Country | US
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Telephone | 980-428-8134
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Fax |
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Provider Business Mailing Address
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Address Line | 6116 E PEA RIDGE RD APT 46
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City | HUNTINGTON
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State | WV
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Zip | 25705-2358
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Country | US
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Telephone | 606-422-6071
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | RP0009928
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License Number State | WV
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 27445
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License Number State | NC
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