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General NPI Number Information
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NPI Number | 1164833711
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Entity Type | Individual
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Provider Name | STEPHANIE J.Y.S. LIM M.D.
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Gender | Female
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Dates
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Enumeration Date | 05/16/2014
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Last Update Date | 02/12/2021
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Provider Practice Location Address
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Address Line | 1319 PUNAHOU ST KAPIOLANI PEDIATRIC ONCOLOGY
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City | HONOLULU
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State | HI
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Zip | 96826-1001
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Country | US
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Telephone | 808-983-8551
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Fax | 808-983-8005
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Provider Business Mailing Address
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Address Line | 701 ILALO ST STE 320
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City | HONOLULU
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State | HI
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Zip | 96813-5516
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Country | US
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Telephone | 808-564-3970
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Fax |
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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 | 2080P0207X
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Taxonomy Name | Pediatric Hematology & Oncology Physician
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License Number | MD-20655
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License Number State | HI
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