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General NPI Number Information
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NPI Number | 1093856668
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Entity Type | Individual
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Provider Name | YUNG H KIM M.D.
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Gender | Male
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Dates
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Enumeration Date | 02/08/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 446 BELLEVUE AVE
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City | TRENTON
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State | NJ
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Zip | 08618-4502
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Country | US
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Telephone | 609-394-4019
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Fax | 609-394-4685
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Provider Business Mailing Address
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Address Line | 983 HUNTERS TURN
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City | HUNTINGDON VALLEY
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State | PA
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Zip | 19006-3309
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Country | US
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Telephone | 215-947-6634
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Fax | 215-947-6634
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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 | 207ZP0102X
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Taxonomy Name | Anatomic Pathology & Clinical Pathology Physician
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License Number | 25MA04769600
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License Number State | NJ
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