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General NPI Number Information
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NPI Number | 1902889264
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Entity Type | Individual
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Provider Name | RENEE LIM NGO MD
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Gender | Male
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Dates
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Enumeration Date | 11/21/2005
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 3680 E SUNSET RD STE 100
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City | LAS VEGAS
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State | NV
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Zip | 89120-7219
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Country | US
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Telephone | 702-855-0748
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Fax | 702-436-8088
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Provider Business Mailing Address
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Address Line | PO BOX 778207
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City | HENDERSON
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State | NV
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Zip | 89077-8207
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Country | US
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Telephone | 702-855-0748
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Fax | 702-436-8088
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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 | 10905
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License Number State | NV
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Taxonomy #2
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Taxonomy Code | 2084P0805X
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Taxonomy Name | Geriatric Psychiatry Physician
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License Number | 10905
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License Number State | NV
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