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General NPI Number Information
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NPI Number | 1427109651
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Entity Type | Organization
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Legal Business Name | AIDA Y. LIM, DDS, A PROFESSIONAL CORPORATION
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Dates
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Enumeration Date | 01/15/2007
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Last Update Date | 05/02/2012
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Provider Practice Location Address
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Address Line | 225 S HARBOR BLVD STE 100
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City | ANAHEIM
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State | CA
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Zip | 92805-3742
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Country | US
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Telephone | 714-778-0988
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Fax | 714-778-5988
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Provider Business Mailing Address
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Address Line | 225 S HARBOR BLVD STE 100
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City | ANAHEIM
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State | CA
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Zip | 92805-3742
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Country | US
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Telephone | 714-778-0988
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Fax | 714-778-5988
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MARLENE LIM
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Credential |
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Telephone | 714-778-0988
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 39981
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License Number State | CA
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