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General NPI Number Information
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NPI Number | 1134488935
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Entity Type | Organization
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Legal Business Name | L&L LIMITED PARTNERSHIP
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Dates
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Enumeration Date | 05/14/2012
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Last Update Date | 05/14/2012
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Provider Practice Location Address
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Address Line | 914 SAINT STEPHENS GRN
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City | OAK BROOK
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State | IL
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Zip | 60523-2568
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Country | US
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Telephone | 630-789-1570
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Fax | 630-789-1570
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Provider Business Mailing Address
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Address Line | 914 ST. STEPHENS GREEN
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City | OAK BROOK
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State | IL
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Zip | 60523
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Country | US
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Telephone | 630-789-1570
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Fax | 630-789-1570
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Authorized Official
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Title or Position | NEUROSURGEON
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Name | DR. JIT KIM LIM
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Credential | MD
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Telephone | 630-789-1570
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 036.052626
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License Number State | IL
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