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General NPI Number Information
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NPI Number | 1346306420
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Entity Type | Individual
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Provider Name | AMI C LIM MD
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Gender | Female
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Dates
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Enumeration Date | 12/31/2006
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Last Update Date | 08/30/2019
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Provider Practice Location Address
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Address Line | 577 WESTFIELD AVE
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City | WESTFIELD
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State | NJ
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Zip | 07090-3373
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Country | US
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Telephone | 908-232-6566
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Fax |
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Provider Business Mailing Address
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Address Line | 6 BALDWIN CT
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City | ROSELAND
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State | NJ
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Zip | 07068-1331
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Country | US
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Telephone | 973-226-9182
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 157507
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 25MA05166500
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License Number State | NJ
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