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General NPI Number Information
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NPI Number | 1093205676
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Entity Type | Individual
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Provider Name | HONG KIM
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Gender | Male
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Dates
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Enumeration Date | 05/18/2018
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Last Update Date | 09/25/2025
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Provider Practice Location Address
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Address Line | 145 PALISADE ST STE 396
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City | DOBBS FERRY
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State | NY
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Zip | 10522-1694
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Country | US
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Telephone | 201-969-5923
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Fax | 212-202-7873
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Provider Business Mailing Address
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Address Line | 145 PALISADE ST STE 396
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City | DOBBS FERRY
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State | NY
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Zip | 10522-1694
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Country | US
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Telephone | 201-969-5923
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Fax | 212-202-7873
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 26NJ01170200
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 163WP0808X
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Taxonomy Name | Psychiatric/Mental Health Registered Nurse
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License Number | 26NR18865500
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License Number State | NJ
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Taxonomy #3
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Taxonomy Code | 163WP0808X
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Taxonomy Name | Psychiatric/Mental Health Registered Nurse
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License Number | 166816
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License Number State | CT
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Taxonomy #4
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 402766
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License Number State | NY
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Taxonomy #5
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Taxonomy Code | 163WH0200X
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Taxonomy Name | Home Health Registered Nurse
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License Number | 711302
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License Number State | NY
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Taxonomy #6
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 11875
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License Number State | CT
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