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General NPI Number Information
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NPI Number | 1639347297
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Entity Type | Individual
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Provider Name | SU HSIEN LIM MD
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Gender | Female
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Dates
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Enumeration Date | 02/18/2008
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Last Update Date | 10/11/2011
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Provider Practice Location Address
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Address Line | 111 GOOSE LANE SUITE 1300
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City | GUILFORD
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State | CT
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Zip | 06437
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Country | US
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Telephone | 203-453-9192
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Fax | 203-453-0875
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Provider Business Mailing Address
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Address Line | 19 LUNAR DRIVE
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City | WOODBRIDGE
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State | CT
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Zip | 06525
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Country | US
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Telephone | 203-389-7504
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Fax | 203-389-1666
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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 | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | 228010
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 207RX0202X
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Taxonomy Name | Medical Oncology Physician
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License Number | 046306
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License Number State | CT
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