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General NPI Number Information
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NPI Number | 1568705903
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Entity Type | Individual
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Provider Name | JOANNA CHRISTINA LIM MD
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Gender | Female
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Dates
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Enumeration Date | 04/04/2013
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Last Update Date | 09/25/2018
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Provider Practice Location Address
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Address Line | RICHARD L. ROUDEBUSH VA MEDICAL CENTER 1481 WEST 10TH STREET
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City | INDIANAPOLIS
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State | IN
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Zip | 46202
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Country | US
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Telephone | 317-554-0000
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Fax |
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Provider Business Mailing Address
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Address Line | RICHARD L. ROUDEBUSH VA MEDICAL CENTER 1481 WEST 10TH STREET
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City | INDIANAPOLIS
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State | IN
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Zip | 46202
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Country | US
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Telephone | 317-554-0000
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 0101261966
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License Number State | VA
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