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General NPI Number Information
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NPI Number | 1285812438
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Entity Type | Organization
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Legal Business Name | ANGELA S. LIMA S.C.
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Dates
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Enumeration Date | 02/08/2008
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Last Update Date | 02/08/2008
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Provider Practice Location Address
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Address Line | 6733 KINGERY HWY
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City | WILLOWBROOK
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State | IL
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Zip | 60527-5142
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Country | US
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Telephone | 630-850-0600
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Fax | 630-850-0608
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Provider Business Mailing Address
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Address Line | 429 S PECK AVE
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City | LA GRANGE
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State | IL
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Zip | 60525-6127
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Country | US
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Telephone | 708-579-9223
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Fax |
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Authorized Official
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Title or Position | AGENT
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Name | DR. ANGELA S. LIMA
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Credential | D.O.
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Telephone | 708-579-9223
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State | IL
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