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General NPI Number Information
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NPI Number | 1912922535
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Entity Type | Individual
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Provider Name | BECKILYN L LIM MD
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Gender | Female
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Dates
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Enumeration Date | 07/13/2006
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Last Update Date | 10/31/2012
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Provider Practice Location Address
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Address Line | 11803 JEFFERSON AVE STE 236
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City | NEWPORT NEWS
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State | VA
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Zip | 23606-2565
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Country | US
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Telephone | 757-873-8883
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Fax | 757-873-8730
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Provider Business Mailing Address
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Address Line | 11803 JEFFERSON AVE STE 236
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City | NEWPORT NEWS
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State | VA
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Zip | 23606-2565
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Country | US
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Telephone | 757-873-8883
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Fax | 757-873-8730
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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 | 2080P0006X
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Taxonomy Name | Developmental - Behavioral Pediatrics Physician
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License Number | 0101048846
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License Number State | VA
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