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General NPI Number Information
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NPI Number | 1134380132
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Entity Type | Individual
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Provider Name | ADRIANUS PATRICK LIM MD
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Gender | Male
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Dates
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Enumeration Date | 06/23/2008
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Last Update Date | 11/03/2023
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Provider Practice Location Address
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Address Line | 2142 N COVE BLVD
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City | TOLEDO
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State | OH
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Zip | 43606-3895
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Country | US
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Telephone | 419-291-4000
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Fax | 419-824-7359
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Provider Business Mailing Address
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Address Line | 2006 HOGBACK RD SUITE 5A
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City | ANN ARBOR
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State | MI
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Zip | 48105-9750
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Country | US
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Telephone | 734-786-2317
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Fax | 734-786-4977
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 4301091871
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License Number State | MI
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