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General NPI Number Information
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NPI Number | 1093011389
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Entity Type | Organization
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Legal Business Name | ALICE A. LIM M.D., P.A.
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Dates
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Enumeration Date | 02/03/2011
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Last Update Date | 02/03/2011
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Provider Practice Location Address
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Address Line | 7814 BELLAIRE BLVD.
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City | HOUSTON
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State | TX
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Zip | 77036
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Country | US
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Telephone | 713-271-0030
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Fax | 713-271-1131
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Provider Business Mailing Address
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Address Line | P.O. BOX 571715
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City | HOUSTON
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State | TX
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Zip | 77257-1715
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Country | US
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Telephone | 713-271-0030
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Fax | 713-271-1131
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ALICE A. LIM
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Credential | MD
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Telephone | 713-271-0030
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | K0338
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License Number State | TX
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