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General NPI Number Information
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NPI Number | 1700750882
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Entity Type | Individual
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Provider Name | AMELIA TIO LIM
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Gender | Female
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Dates
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Enumeration Date | 10/02/2025
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Last Update Date | 10/02/2025
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Provider Practice Location Address
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Address Line | 5755 COTTLE RD BLDG 21
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City | SAN JOSE
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State | CA
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Zip | 95123-3600
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Country | US
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Telephone | 408-972-6400
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Fax |
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Provider Business Mailing Address
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Address Line | 1538 9TH AVE
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City | SAN FRANCISCO
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State | CA
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Zip | 94122-3609
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Country | US
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Telephone | 415-697-9335
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 21376
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License Number State | CA
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