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General NPI Number Information
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NPI Number | 1790346690
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Entity Type | Individual
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Provider Name | JAMES JONG SOO LIM PHARMD
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Gender | Male
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Dates
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Enumeration Date | 06/22/2019
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Last Update Date | 12/06/2019
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Provider Practice Location Address
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Address Line | 303 S LA BREA AVE
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City | LOS ANGELES
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State | CA
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Zip | 90036-3526
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Country | US
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Telephone | 323-634-0743
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Fax |
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Provider Business Mailing Address
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Address Line | 3345 WILSHIRE BLVD APT 613
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City | LOS ANGELES
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State | CA
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Zip | 90010-1817
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Country | US
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Telephone | 808-265-2023
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 81036
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License Number State | CA
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