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General NPI Number Information
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NPI Number | 1376299537
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Entity Type | Individual
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Provider Name | HYUN JU LIM AGPCNP
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Gender | Female
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Dates
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Enumeration Date | 02/25/2022
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Last Update Date | 12/02/2025
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Provider Practice Location Address
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Address Line | 428 NY-146
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City | ALTAMONT
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State | NY
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Zip | 12009-4409
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Country | US
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Telephone | 872-231-3162
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Fax | 702-977-1496
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Provider Business Mailing Address
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Address Line | PO BOX 22239
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City | NEW YORK
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State | NY
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Zip | 10087-0001
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Country | US
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Telephone | 702-899-0595
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Fax | 702-977-1496
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | F310670
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License Number State | NY
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