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General NPI Number Information
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NPI Number | 1023417284
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Entity Type | Individual
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Provider Name | MONICA KYUNG-MI GOMEZ RD, LDN
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Gender | Female
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Dates
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Enumeration Date | 08/13/2014
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Last Update Date | 09/09/2024
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Provider Practice Location Address
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Address Line | 8532 BATTERY CREST LN
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City | WAKE FOREST
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State | NC
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Zip | 27587-4123
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Country | US
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Telephone | 725-248-8383
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Fax |
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Provider Business Mailing Address
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Address Line | 6900 PECOS RD
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City | NORTH LAS VEGAS
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State | NV
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Zip | 89086-4400
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Country | US
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Telephone | 702-791-9000
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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 | 133VN1005X
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Taxonomy Name | Renal Nutrition Registered Dietitian
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License Number | 32310DI-0
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License Number State | NV
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