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General NPI Number Information
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NPI Number | 1376517151
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Entity Type | Individual
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Provider Name | SCOTT JIT-MENG LIM D.O.
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Gender | Male
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Dates
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Enumeration Date | 02/16/2006
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Last Update Date | 07/09/2007
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Provider Practice Location Address
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Address Line | 3243 W 26TH ST
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City | ERIE
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State | PA
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Zip | 16506-2507
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Country | US
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Telephone | 814-836-1300
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Fax | 814-836-1346
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Provider Business Mailing Address
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Address Line | 3243 W 26TH ST
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City | ERIE
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State | PA
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Zip | 16506-2507
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Country | US
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Telephone | 814-836-1300
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Fax | 814-836-1346
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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 | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | OS006153L
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License Number State | PA
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