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General NPI Number Information
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NPI Number | 1487703294
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Entity Type | Organization
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Legal Business Name | ROGER S LIM DDS MS INC.
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Dates
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Enumeration Date | 01/10/2007
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Last Update Date | 09/02/2025
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Provider Practice Location Address
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Address Line | 13308 MOORPARK ST
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City | SHERMAN OAKS
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State | CA
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Zip | 91423-3918
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Country | US
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Telephone | 818-783-4565
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Fax |
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Provider Business Mailing Address
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Address Line | 13308 MOORPARK ST
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City | SHERMAN OAKS
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State | CA
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Zip | 91423-3918
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Country | US
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Telephone | 818-783-4565
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | ROGER LIM
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Credential |
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Telephone | 818-783-4565
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | 45487
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License Number State | CA
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