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General NPI Number Information
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NPI Number | 1598241457
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Entity Type | Individual
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Provider Name | KWANG-HO LIM CH60865318
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Gender | Male
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Dates
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Enumeration Date | 07/13/2018
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Last Update Date | 11/21/2024
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Provider Practice Location Address
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Address Line | 1836 WESTLAKE AVE N STE 202
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City | SEATTLE
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State | WA
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Zip | 98109-2780
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Country | US
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Telephone | 206-722-0299
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Fax | 206-722-0436
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Provider Business Mailing Address
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Address Line | 1836 WESTLAKE AVE N STE 202
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City | SEATTLE
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State | WA
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Zip | 98109-2780
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Country | US
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Telephone | 206-492-7131
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Fax | 206-717-2908
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | CH60865318
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License Number State | WA
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