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General NPI Number Information
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NPI Number | 1124390810
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Entity Type | Organization
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Legal Business Name | BYUNG S. LIM , MD, PC
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Dates
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Enumeration Date | 01/27/2012
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Last Update Date | 10/17/2012
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Provider Practice Location Address
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Address Line | 14 HOSPITAL DR
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City | MASSENA
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State | NY
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Zip | 13662-1019
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Country | US
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Telephone | 315-769-6081
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 606
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City | MASSENA
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State | NY
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Zip | 13662-0606
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Country | US
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Telephone | 315-769-6081
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Fax | 315-769-1733
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MRS. KAIPO R
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Credential |
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Telephone | 315-769-6081
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2086X0206X
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Taxonomy Name | Surgical Oncology Physician
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License Number | 113567
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 113567
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License Number State | NY
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