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General NPI Number Information
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NPI Number | 1699804948
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Entity Type | Individual
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Provider Name | EMELITA LIM-MENESES M.D.
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Gender | Female
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Dates
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Enumeration Date | 03/04/2007
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Last Update Date | 07/09/2007
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Provider Practice Location Address
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Address Line | 11246 S MICHIGAN AVE
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City | CHICAGO
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State | IL
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Zip | 60628-4941
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Country | US
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Telephone | 773-995-9490
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Fax |
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Provider Business Mailing Address
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Address Line | 7 CONCORD DR
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City | OAK BROOK
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State | IL
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Zip | 60523-1765
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Country | US
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Telephone | 773-995-9490
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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 | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number |
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License Number State | IL
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