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General NPI Number Information
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NPI Number | 1427797141
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Entity Type | Organization
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Legal Business Name | LIM DENTISTRY INC
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Dates
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Enumeration Date | 06/01/2022
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Last Update Date | 06/01/2022
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Provider Practice Location Address
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Address Line | 4661 STOCKDALE HWY
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City | BAKERSFIELD
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State | CA
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Zip | 93309-2614
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Country | US
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Telephone | 661-837-0435
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Fax |
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Provider Business Mailing Address
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Address Line | 11503 PACIFIC SHORES DR
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City | BAKERSFIELD
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State | CA
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Zip | 93312-8211
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Country | US
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Telephone | 949-202-7952
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. CHING LAN LIM
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Credential | DMD
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Telephone | 949-202-7952
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number |
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License Number State |
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