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General NPI Number Information
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NPI Number | 1730139775
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Entity Type | Individual
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Provider Name | LUCY M LIMAYLLA M.D.
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Gender | Female
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Dates
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Enumeration Date | 05/11/2006
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Last Update Date | 04/22/2025
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Provider Practice Location Address
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Address Line | 107 BAYOU RD GREENVILLE
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City | GREENVILLE
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State | MS
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Zip | 38701-7702
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Country | US
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Telephone | 662-403-8579
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Fax | 601-272-3434
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Provider Business Mailing Address
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Address Line | 107 BAYOU RD GREENVILLE
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City | GREENVILLE
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State | MS
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Zip | 38701-7702
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Country | US
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Telephone | 662-403-8579
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Fax | 601-272-3434
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 0431907
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License Number State | KS
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | T-00514
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License Number State | KS
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