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General NPI Number Information
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NPI Number | 1578471629
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Entity Type | Individual
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Provider Name | ABBIE GAIL DOMINGUEZ LIM NP
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Gender | Female
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Dates
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Enumeration Date | 08/31/2026
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Last Update Date | 09/03/2026
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Provider Practice Location Address
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Address Line | 10010 DON S POWERS DR
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City | MUNSTER
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State | IN
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Zip | 46321-4054
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Country | US
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Telephone | 219-934-4200
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Fax | 219-922-5904
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Provider Business Mailing Address
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Address Line | PO BOX 84925
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City | CHICAGO
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State | IL
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Zip | 60689-4925
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Country | US
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Telephone | 219-934-4200
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Fax | 219-922-5904
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 041.490069
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 209.035741
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License Number State | IN
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