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General NPI Number Information
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NPI Number | 1003127275
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Entity Type | Individual
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Provider Name | SEON BRIAN KUM M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/23/2010
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Last Update Date | 01/10/2018
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Provider Practice Location Address
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Address Line | 1529 E PALMDALE BLVD
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City | PALMDALE
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State | CA
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Zip | 93550-2034
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Country | US
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Telephone | 661-575-1800
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Fax |
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Provider Business Mailing Address
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Address Line | 1529 E PALMDALE BLVD
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City | PALMDALE
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State | CA
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Zip | 93550-2034
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Country | US
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Telephone | 661-575-1800
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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 | 2084P0805X
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Taxonomy Name | Geriatric Psychiatry Physician
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License Number | A143156
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License Number State | CA
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