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General NPI Number Information
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NPI Number | 1174892970
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Entity Type | Organization
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Legal Business Name | DAN W. LIM D.D.S. INC.
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Dates
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Enumeration Date | 12/22/2011
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Last Update Date | 12/22/2011
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Provider Practice Location Address
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Address Line | 12850 PIONEER BLVD.
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City | NORWALK
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State | CA
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Zip | 90650
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Country | US
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Telephone | 562-929-0829
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Fax |
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Provider Business Mailing Address
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Address Line | 12850 PIONEER BLVD.
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City | NORWALK
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State | CA
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Zip | 90650
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Country | US
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Telephone | 562-929-0829
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Fax |
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Authorized Official
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Title or Position | DENTIST
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Name | DR. DAN WEE LIM
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Credential | D.D.S.
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Telephone | 562-929-0829
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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 | 31945
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License Number State | CA
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