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General NPI Number Information
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NPI Number | 1689179707
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Entity Type | Organization
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Legal Business Name | LIM'S ACUPUNCTURE AND WELLNESS LLC
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Dates
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Enumeration Date | 03/29/2018
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Last Update Date | 03/29/2018
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Provider Practice Location Address
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Address Line | 4 PROFESSIONAL DR STE 132
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City | GAITHERSBURG
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State | MD
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Zip | 20879-3426
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Country | US
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Telephone | 301-990-2244
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Fax |
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Provider Business Mailing Address
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Address Line | 4 PROFESSIONAL DR STE 132
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City | GAITHERSBURG
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State | MD
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Zip | 20879-3426
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Country | US
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Telephone | 301-990-2244
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MR. PILSU LIM
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Credential | LAC
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Telephone | 301-990-2244
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | U02063
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License Number State | MD
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