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General NPI Number Information
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NPI Number | 1205101573
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Entity Type | Individual
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Provider Name | DAVID WAI LIM M.D., C.M.
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Gender | Male
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Dates
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Enumeration Date | 03/19/2012
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Last Update Date | 03/19/2012
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Provider Practice Location Address
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Address Line | 345 W 145TH ST #4C4
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City | NEW YORK
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State | NY
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Zip | 10031-5302
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Country | US
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Telephone | 780-908-9245
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Fax |
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Provider Business Mailing Address
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Address Line | WINDSOR PARK PLAZA (TOWER 1) 11135 - 83RD AVENUE NW, SUITE 808
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City | EDMONTON
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State | ALBERTA
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Zip | T6G2C6
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Country | CA
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Telephone | 780-908-9245
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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