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General NPI Number Information
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NPI Number | 1154583672
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Entity Type | Individual
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Provider Name | VERA MONICA LIM DDS
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Gender | Female
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Dates
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Enumeration Date | 06/26/2008
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Last Update Date | 11/05/2009
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Provider Practice Location Address
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Address Line | 400 CLEVELAND AVE SW
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City | ATLANTA
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State | GA
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Zip | 30315-8144
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Country | US
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Telephone | 404-761-8455
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Fax | 404-761-2181
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Provider Business Mailing Address
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Address Line | 404 WINDSOR MANOR CT
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City | DULUTH
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State | GA
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Zip | 30097-5992
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Country | US
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Telephone | 404-805-2405
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Fax | 770-476-4818
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 2901019880
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | DN013849
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License Number State | GA
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