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General NPI Number Information
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NPI Number | 1811245905
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Entity Type | Organization
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Legal Business Name | LIM CHIROPRACTIC PROFESSIONAL CORPORATION
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Dates
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Enumeration Date | 08/21/2012
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Last Update Date | 08/21/2012
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Provider Practice Location Address
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Address Line | 205 W MISSION AVE SUITE P
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City | ESCONDIDO
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State | CA
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Zip | 92025-1733
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Country | US
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Telephone | 760-480-0077
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Fax | 760-480-0379
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Provider Business Mailing Address
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Address Line | 205 W MISSION AVE SUITE P
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City | ESCONDIDO
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State | CA
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Zip | 92025-1733
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Country | US
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Telephone | 760-480-0077
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Fax | 760-480-0379
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. HOON LIM
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Credential | D.C.
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Telephone | 760-480-0077
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | DC16695
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License Number State | CA
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