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General NPI Number Information
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NPI Number | 1073262093
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Entity Type | Individual
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Provider Name | MR. YOHAN KIM
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Gender | Male
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Dates
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Enumeration Date | 03/18/2022
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Last Update Date | 01/07/2026
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Provider Practice Location Address
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Address Line | 6161 S YALE AVE
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City | TULSA
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State | OK
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Zip | 74136-1902
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Country | US
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Telephone | 918-502-1900
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Fax | 918-494-6303
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Provider Business Mailing Address
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Address Line | 6502 S YALE AVE STE 3410
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City | TULSA
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State | OK
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Zip | 74136-8329
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Country | US
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Telephone | 918-499-4855
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Fax | 918-488-6098
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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 | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | V4932
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | V4932
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | 9376
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License Number State | OK
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Taxonomy #4
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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