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General NPI Number Information
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NPI Number | 1871573147
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Entity Type | Individual
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Provider Name | JEFFREY R. LIMJUCO M.D.
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Gender | Male
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Dates
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Enumeration Date | 01/20/2006
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Last Update Date | 04/19/2024
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Provider Practice Location Address
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Address Line | 8901 WISCONSIN AVE
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City | BETHESDA
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State | MD
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Zip | 20889-0004
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Country | US
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Telephone | 301-295-4941
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Fax |
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Provider Business Mailing Address
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Address Line | 10027 DALLAS AVE
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City | SILVER SPRING
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State | MD
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Zip | 20901-2240
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Country | US
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Telephone | 301-957-0651
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 036.120038
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | D0096070
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License Number State | MD
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