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NPI 1215010061

NPI 1215010061 : NANCY LIM MD : OCOEE, FL

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General NPI Number Information
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    NPI Number           |    1215010061
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    Entity Type          |    Individual 
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    Provider Name        |    NANCY LIM MD
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    10/23/2006
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    Last Update Date     |    02/03/2022
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Provider Practice Location Address
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    Address Line         |    8849 W COLONIAL DR 
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    City                 |    OCOEE
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    State                |    FL
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    Zip                  |    34761-6951
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    Country              |    US
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    Telephone            |    844-665-4827
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    Fax                  |    866-369-7893
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Provider Business Mailing Address
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    Address Line         |    830 WOODS LANDING DR 
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    City                 |    MINNEOLA
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    State                |    FL
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    Zip                  |    34715-6039
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    Country              |    US
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    Telephone            |    352-321-6961
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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        |    207Q00000X
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    Taxonomy Name        |    Family Medicine Physician
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    License Number       |    E4965
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    License Number State |    AR
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Taxonomy #2
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    Taxonomy Code        |    207Q00000X
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    Taxonomy Name        |    Family Medicine Physician
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    License Number       |    MD27483
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    License Number State |    AL
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Taxonomy #3
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    Taxonomy Code        |    207Q00000X
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    Taxonomy Name        |    Family Medicine Physician
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    License Number       |    ME95140
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    License Number State |    FL
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