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General NPI Number Information
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NPI Number | 1295911196
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Entity Type | Organization
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Legal Business Name | JOSEPHINE B LIM MD PA
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Dates
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Enumeration Date | 01/10/2008
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Last Update Date | 01/10/2008
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Provider Practice Location Address
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Address Line | 2404 LAKELAND HILLS BLVD
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City | LAKELAND
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State | FL
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Zip | 33805-2214
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Country | US
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Telephone | 863-802-8440
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Fax | 863-802-8310
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Provider Business Mailing Address
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Address Line | 2404 LAKELAND HILLS BLVD
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City | LAKELAND
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State | FL
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Zip | 33805-2214
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Country | US
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Telephone | 863-802-8440
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Fax | 863-802-8310
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JOSEPHINE BLANCHE LIM
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Credential |
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Telephone | 863-802-8440
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | ME80475
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License Number State | FL
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