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General NPI Number Information
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NPI Number | 1053037192
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Entity Type | Individual
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Provider Name | JOANNE KIM NP
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Gender | Female
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Dates
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Enumeration Date | 10/19/2022
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Last Update Date | 10/20/2022
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Provider Practice Location Address
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Address Line | 3657 VAN BUREN BLVD
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City | RIVERSIDE
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State | CA
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Zip | 92503-4249
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Country | US
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Telephone | 909-238-7966
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Fax |
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Provider Business Mailing Address
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Address Line | 9961 KAYLOR AVE
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City | LOS ALAMITOS
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State | CA
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Zip | 90720-2225
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Country | US
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Telephone | 909-238-7966
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 95022581
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License Number State | CA
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