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General NPI Number Information
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NPI Number | 1033263678
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Entity Type | Organization
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Legal Business Name | YOUNG H. KIM, MD, PC
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Dates
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Enumeration Date | 01/22/2007
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Last Update Date | 06/24/2013
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Provider Practice Location Address
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Address Line | 2545 N OPDYKE RD SUITE 104
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City | AUBURN HILLS
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State | MI
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Zip | 48326-1970
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Country | US
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Telephone | 248-373-1133
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Fax | 248-373-1140
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Provider Business Mailing Address
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Address Line | 2545 N OPDYKE RD SUITE 104
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City | AUBURN HILLS
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State | MI
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Zip | 48326-1970
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Country | US
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Telephone | 248-373-1133
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Fax | 248-373-1140
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Authorized Official
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Title or Position | PRESIDENT
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Name | YOUNG H KIM
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Credential | MD
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Telephone | 248-373-1133
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 6301009503
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 6301006011
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License Number State | MI
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 6801033761
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License Number State | MI
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Taxonomy #4
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 6801066233
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License Number State | MI
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Taxonomy #5
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 6801068002
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License Number State | MI
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Taxonomy #6
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 6801010010
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License Number State | MI
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Taxonomy #7
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 4301040478
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License Number State | MI
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