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General NPI Number Information
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NPI Number | 1053475673
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Entity Type | Individual
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Provider Name | CHRISTI YOUNG-AH KIM MD
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Gender | Female
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Dates
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Enumeration Date | 12/20/2006
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Last Update Date | 08/28/2025
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Provider Practice Location Address
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Address Line | 7650 RIVER ROAD 2ND FLOOR
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City | NORTH BERGEN
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State | NJ
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Zip | 07047-6526
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Country | US
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Telephone | 201-464-0008
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Fax | 860-271-4947
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Provider Business Mailing Address
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Address Line | 500 FRANK W BURR BLVD ST 560 MAILBOX #29
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City | TEANECK
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State | NJ
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Zip | 07666-6804
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Country | US
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Telephone | 201-510-0910
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Fax | 201-621-6931
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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 | 207RX0202X
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Taxonomy Name | Medical Oncology Physician
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License Number | 69562
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License Number State | CT
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Taxonomy #2
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Taxonomy Code | 207RX0202X
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Taxonomy Name | Medical Oncology Physician
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License Number | 2822966
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 207RX0202X
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Taxonomy Name | Medical Oncology Physician
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License Number | 25MA12290200
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License Number State | NJ
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