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NPI 1275244527

NPI 1275244527 : SUN YOUNG LIM ASW : TORRANCE, CA

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General NPI Number Information
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    NPI Number           |    1275244527
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    Entity Type          |    Individual 
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    Provider Name        |    SUN YOUNG LIM ASW
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    12/07/2022
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    Last Update Date     |    04/18/2025
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Provider Practice Location Address
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    Address Line         |    3812 SEPULVEDA BLVD STE 460 
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    City                 |    TORRANCE
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    State                |    CA
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    Zip                  |    90505-2486
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    Country              |    US
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    Telephone            |    520-247-7406
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    11947 VALLEY VIEW ST # 5442
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    City                 |    GARDEN GROVE
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    State                |    CA
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    Zip                  |    92846
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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        |    104100000X
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    Taxonomy Name        |    Social Worker
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    License Number       |    105437
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    License Number State |    CA
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