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General NPI Number Information
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NPI Number | 1215688668
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Entity Type | Individual
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Provider Name | ELAINE MARIE LIMA PA
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Gender | Female
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Dates
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Enumeration Date | 01/17/2022
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Last Update Date | 07/20/2023
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Provider Practice Location Address
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Address Line | 160 E ARTESIA ST STE 225
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City | POMONA
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State | CA
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Zip | 91767-2925
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Country | US
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Telephone | 626-319-6547
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Fax |
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Provider Business Mailing Address
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Address Line | 449 W FOOTHILL BLVD
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City | GLENDORA
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State | CA
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Zip | 91741-3363
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Country | US
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Telephone |
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State |
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