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General NPI Number Information
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NPI Number | 1073904892
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Entity Type | Individual
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Provider Name | DAVID YOUNG KIM D.C.
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Gender | Male
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Dates
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Enumeration Date | 02/16/2015
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Last Update Date | 02/16/2015
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Provider Practice Location Address
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Address Line | 1144 S WESTERN AVE #202
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City | LOS ANGELES
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State | CA
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Zip | 90006-2379
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Country | US
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Telephone | 323-643-4337
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Fax | 323-643-4337
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Provider Business Mailing Address
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Address Line | 3250 COUNTRY CLUB DRIVE
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City | LOS ANGELES
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State | CA
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Zip | 90019-3602
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Country | US
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Telephone | 323-643-4337
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Fax | 323-373-1612
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 22740
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License Number State | CA
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