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General NPI Number Information
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NPI Number | 1073476974
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Entity Type | Individual
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Provider Name | KIM HUYEN HUYNH MD
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Gender | Female
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Dates
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Enumeration Date | 12/08/2025
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Last Update Date | 12/08/2025
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Provider Practice Location Address
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Address Line | 451 CLARKSON AVE
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City | BROOKLYN
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State | NY
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Zip | 11203-2097
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Country | US
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Telephone | 718-245-5227
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Fax | 646-640-4356
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Provider Business Mailing Address
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Address Line | 114 CRANBERRY DR
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City | LIVERPOOL
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State | NY
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Zip | 13088-5661
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Country | US
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Telephone | 661-803-9986
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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 | 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 | NY
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