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General NPI Number Information
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NPI Number | 1942558614
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Entity Type | Individual
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Provider Name | CHRISTINA HSIEH LIM D.D.S.
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Gender | Female
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Dates
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Enumeration Date | 08/28/2012
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Last Update Date | 08/08/2022
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Provider Practice Location Address
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Address Line | 8525 W PICO BLVD
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City | LOS ANGELES
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State | CA
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Zip | 90035-2409
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Country | US
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Telephone | 310-362-1742
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Fax |
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Provider Business Mailing Address
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Address Line | 1919 CURTIS AVE UNIT B
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City | REDONDO BEACH
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State | CA
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Zip | 90278-2312
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Country | US
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Telephone | 818-205-3359
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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 | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | 61739
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License Number State | CA
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