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General NPI Number Information
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NPI Number | 1063233674
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Entity Type | Organization
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Legal Business Name | ALL FACIAL PROSTHETIC AND HEARING SERVICE CORP
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Dates
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Enumeration Date | 10/17/2024
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Last Update Date | 10/17/2024
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Provider Practice Location Address
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Address Line | 308 WASHINGTON AVE S
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City | KENT
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State | WA
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Zip | 98032-5713
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Country | US
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Telephone | 253-981-3917
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Fax | 253-981-3926
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Provider Business Mailing Address
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Address Line | 308 WASHINGTON AVE S
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City | KENT
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State | WA
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Zip | 98032-5713
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Country | US
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Telephone | 253-981-3917
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Fax | 253-981-3926
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. MINSEOK KIM
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Credential | DD, LD, MSC
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Telephone | 253-886-3922
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0700X
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Taxonomy Name | Hearing and Speech Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 122400000X
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Taxonomy Name | Denturist
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License Number |
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License Number State |
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