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General NPI Number Information
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NPI Number | 1144352022
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Entity Type | Individual
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Provider Name | LIYOONG LIM DDS MD
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Gender | Female
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Dates
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Enumeration Date | 03/09/2007
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Last Update Date | 04/08/2025
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Provider Practice Location Address
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Address Line | 1150 SCOTT BLVD BLDG D
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City | SANTA CLARA
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State | CA
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Zip | 95050-4547
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Country | US
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Telephone | 408-248-9597
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Fax | 408-248-9590
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Provider Business Mailing Address
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Address Line | 1150 SCOTT BLVD BLDG D
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City | SANTA CLARA
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State | CA
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Zip | 95050-4547
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Country | US
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Telephone | 408-248-9597
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Fax | 408-248-9590
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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 | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number | 42741
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License Number State | CA
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