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General NPI Number Information
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NPI Number | 1033541479
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Entity Type | Individual
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Provider Name | SOO HYUN KIM DDS
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Gender | Female
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Dates
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Enumeration Date | 08/08/2013
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Last Update Date | 11/18/2025
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Provider Practice Location Address
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Address Line | 19150 NE WOODINVILLE DUVALL RD
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City | WOODINVILLE
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State | WA
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Zip | 98077-9477
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Country | US
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Telephone | 425-788-8900
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Fax |
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Provider Business Mailing Address
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Address Line | 8925 137TH PL SE
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City | NEWCASTLE
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State | WA
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Zip | 98059-3283
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Country | US
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Telephone | 425-559-5903
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | DE60688059
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License Number State | WA
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