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General NPI Number Information
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NPI Number | 1497062673
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Entity Type | Organization
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Legal Business Name | EDDIE A. LIM M.D. INC
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Dates
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Enumeration Date | 09/08/2010
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Last Update Date | 09/08/2010
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Provider Practice Location Address
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Address Line | 1021 SMITH ST SUITE # 306
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City | HONOLULU
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State | HI
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Zip | 96817-5623
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Country | US
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Telephone | 808-545-5777
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Fax | 808-537-9507
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Provider Business Mailing Address
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Address Line | 1021 SMITH ST SUITE # 306
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City | HONOLULU
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State | HI
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Zip | 96817-5623
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Country | US
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Telephone | 808-545-5777
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Fax | 808-537-9507
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. EDDIE A LIM
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Credential | M.D.
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Telephone | 808-545-5777
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 9372
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License Number State | HI
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