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General NPI Number Information
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NPI Number | 1942474457
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Entity Type | Organization
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Legal Business Name | TOH-ENG LIM, DDS
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Dates
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Enumeration Date | 04/15/2008
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Last Update Date | 04/15/2008
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Provider Practice Location Address
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Address Line | 4640 SLATER RD STE 150
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City | EAGAN
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State | MN
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Zip | 55122-4045
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Country | US
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Telephone | 651-808-5252
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Fax | 651-808-5253
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Provider Business Mailing Address
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Address Line | 4640 SLATER RD STE 150
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City | EAGAN
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State | MN
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Zip | 55122-4045
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Country | US
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Telephone | 651-808-5252
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Fax | 651-808-5253
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Authorized Official
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Title or Position | DENTIST
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Name | DR. JUDY K. PEDRO-LIM
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Credential | DMD, MDS
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Telephone | 651-808-5252
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State |
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