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General NPI Number Information
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NPI Number | 1831173970
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Entity Type | Individual
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Provider Name | RUSSELL F. LIM M.D.
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Gender | Male
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Dates
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Enumeration Date | 12/02/2005
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Last Update Date | 07/18/2025
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Provider Practice Location Address
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Address Line | 1061 TIERRA DEL REY STE 200
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City | CHULA VISTA
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State | CA
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Zip | 91910-7881
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Country | US
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Telephone | 619-498-5454
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Fax | 619-498-5455
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Provider Business Mailing Address
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Address Line | 1629 JONES ST
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City | CHULA VISTA
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State | CA
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Zip | 91913-4303
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Country | US
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Telephone | 530-400-7261
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | G072427
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | G72427
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License Number State | CA
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