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General NPI Number Information
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NPI Number | 1689191116
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Entity Type | Individual
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Provider Name | DANIEL SEUNG LIM DMD
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Gender | Male
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Dates
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Enumeration Date | 08/25/2017
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Last Update Date | 08/25/2017
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Provider Practice Location Address
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Address Line | 190 E STACY RD BLDG 300 STE 314
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City | ALLEN
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State | TX
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Zip | 75002-8738
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Country | US
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Telephone | 972-678-1277
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Fax |
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Provider Business Mailing Address
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Address Line | 4221 OLD DENTON RD APT 1202
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City | CARROLLTON
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State | TX
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Zip | 75010-2318
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Country | US
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Telephone | 201-618-2776
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 33218
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License Number State | TX
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