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General NPI Number Information
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NPI Number | 1245838036
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Entity Type | Organization
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Legal Business Name | LIM & ELRASHIDY DDS DENTAL GROUP
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Dates
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Enumeration Date | 10/13/2020
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Last Update Date | 10/13/2020
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Provider Practice Location Address
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Address Line | 156 DIABLO RD STE 202
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City | DANVILLE
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State | CA
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Zip | 94526-3312
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Country | US
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Telephone | 925-837-1742
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Fax |
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Provider Business Mailing Address
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Address Line | 156 DIABLO RD STE 202
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City | DANVILLE
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State | CA
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Zip | 94526-3312
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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 | DIRECTOR
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Name | KAMILE JUREVICIUTE LIM
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Credential | DDS
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Telephone | 408-608-4294
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State |
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