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NPI 1669444386

NPI 1669444386 : INGRID CHARMAINE LIM PSY D : BETHESDA, MD

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General NPI Number Information
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    NPI Number           |    1669444386
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    Entity Type          |    Individual 
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    Provider Name        |    INGRID CHARMAINE LIM PSY D
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    02/06/2006
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    Last Update Date     |    09/16/2025
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Provider Practice Location Address
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    Address Line         |    8901 ROCKVILLE PIKE 
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    City                 |    BETHESDA
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    State                |    MD
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    Zip                  |    20889-0001
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    Country              |    US
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    Telephone            |    301-319-2805
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    8901 ROCKVILLE PIKE 
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    City                 |    BETHESDA
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    State                |    MD
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    Zip                  |    20889-0001
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    Country              |    US
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    Telephone            |    301-319-2805
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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        |    103TC2200X
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    Taxonomy Name        |    Clinical Child & Adolescent Psychologist
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    License Number       |    1205
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    License Number State |    AL
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Taxonomy #2
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    Taxonomy Code        |    103TC0700X
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    Taxonomy Name        |    Clinical Psychologist
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    License Number       |    1205
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    License Number State |    AL
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