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General NPI Number Information
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NPI Number | 1063148344
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Entity Type | Organization
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Legal Business Name | ESTHER Y KIM DDS PPLC
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Dates
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Enumeration Date | 07/28/2022
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Last Update Date | 07/28/2022
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Provider Practice Location Address
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Address Line | 76 ALLDS ST STE 6
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City | NASHUA
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State | NH
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Zip | 03060-4704
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Country | US
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Telephone | 410-718-0111
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Fax |
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Provider Business Mailing Address
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Address Line | 51 WINTERBERRY WAY
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City | BEDFORD
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State | MA
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Zip | 01730-1573
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Country | US
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Telephone | 410-718-0011
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ESTHER YOUNG KIM
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Credential | DDS
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Telephone | 410-718-0011
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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