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NPI 1386863520

NPI 1386863520 : SARAH LIM MBBCH : SAINT PAUL, MN

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General NPI Number Information
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    NPI Number           |    1386863520
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    Entity Type          |    Individual 
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    Provider Name        |    SARAH LIM MBBCH
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    04/25/2007
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    Last Update Date     |    07/03/2024
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Provider Practice Location Address
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    Address Line         |    625 ROBERT ST N 
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    City                 |    SAINT PAUL
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    State                |    MN
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    Zip                  |    55155-2538
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    Country              |    US
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    Telephone            |    651-201-5414
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    Fax                  |    651-201-5743
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Provider Business Mailing Address
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    Address Line         |    625 ROBERT ST N 
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    City                 |    SAINT PAUL
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    State                |    MN
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    Zip                  |    55155-2538
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    Country              |    US
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    Telephone            |    651-201-5414
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    Fax                  |    651-201-5743
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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        |    207RI0200X
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    Taxonomy Name        |    Infectious Disease Physician
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    License Number       |    0420012452
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    License Number State |    VT
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Taxonomy #2
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    Taxonomy Code        |    207RI0200X
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    Taxonomy Name        |    Infectious Disease Physician
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    License Number       |    66268
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    License Number State |    MN
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