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General NPI Number Information
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NPI Number | 1033117106
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Entity Type | Individual
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Provider Name | KIM DAVID FLORA DPM
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Gender | Male
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Dates
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Enumeration Date | 07/12/2005
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 1086 N. CHERRY STREET
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City | TULARE
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State | CA
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Zip | 93274-2251
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Country | US
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Telephone | 559-688-3668
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Fax | 559-688-1814
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Provider Business Mailing Address
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Address Line | 1086 N CHERRY ST
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City | TULARE
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State | CA
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Zip | 93274-2251
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Country | US
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Telephone | 559-686-9459
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Fax | 559-688-1814
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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 | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | E3667
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License Number State | CA
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