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NPI 1710024914

NPI 1710024914 : MARIA H LIMA DDS : SOUTH GATE, CA

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General NPI Number Information
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    NPI Number           |    1710024914
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    Entity Type          |    Individual 
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    Provider Name        |    MARIA H LIMA DDS
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    01/30/2007
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    Last Update Date     |    07/09/2007
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Provider Practice Location Address
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    Address Line         |    4444 TWEEDY BLVD 
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    City                 |    SOUTH GATE
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    State                |    CA
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    Zip                  |    90280-6304
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    Country              |    US
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    Telephone            |    323-564-2444
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    Fax                  |    323-249-7565
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Provider Business Mailing Address
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    Address Line         |    38 HONEY LOCUST ST 
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    City                 |    IRVINE
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    State                |    CA
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    Zip                  |    92606
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    Country              |    US
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    Telephone            |    323-564-2444
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    Fax                  |    323-249-7565
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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       |    D54422
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    License Number State |    CA
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