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General NPI Number Information
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NPI Number | 1265972293
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Entity Type | Individual
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Provider Name | RACHEL BOBAE LIM DDS
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Gender | Female
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Dates
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Enumeration Date | 02/23/2017
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Last Update Date | 02/07/2018
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Provider Practice Location Address
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Address Line | 1959 NE PACIFIC ST BOX 357134
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City | SEATTLE
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State | WA
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Zip | 98195-0001
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Country | US
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Telephone | 310-951-8421
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Fax |
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Provider Business Mailing Address
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Address Line | 30422 CAMINO PORVENIR
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City | RANCHO PALOS VERDES
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State | CA
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Zip | 90275-4535
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Country | US
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Telephone | 310-951-8421
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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 | 204E00000X
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Taxonomy Name | Oral & Maxillofacial Surgery (D.M.D.)
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License Number | DR60753961
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License Number State | WA
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Taxonomy #2
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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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Taxonomy #3
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Taxonomy Code | 204E00000X
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Taxonomy Name | Oral & Maxillofacial Surgery (D.M.D.)
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License Number | DE60812299
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License Number State | WA
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