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General NPI Number Information
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NPI Number | 1427351790
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Entity Type | Individual
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Provider Name | AMANDA Y LIM PHARMD.
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Gender | Female
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Dates
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Enumeration Date | 12/08/2010
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Last Update Date | 12/08/2010
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Provider Practice Location Address
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Address Line | 10,000 BAY PINES BLVD
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City | ST.PETERSBURG
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State | FL
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Zip | 33708
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Country | US
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Telephone | 727-398-6661
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Fax |
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Provider Business Mailing Address
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Address Line | 1761 ALBEMARLE RD
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City | CLEARWATER
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State | FL
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Zip | 33764-6520
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Country | US
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Telephone | 727-729-4393
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | PS35954
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License Number State | FL
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