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General NPI Number Information
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NPI Number | 1104681824
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Entity Type | Organization
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Legal Business Name | GASTROENTEROLOGY & MOTILITY CENTER LLC
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Dates
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Enumeration Date | 02/21/2024
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Last Update Date | 07/08/2025
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Provider Practice Location Address
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Address Line | 1601 N PALM AVE STE 311
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City | PEMBROKE PINES
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State | FL
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Zip | 33026-3242
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Country | US
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Telephone | 646-205-2889
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Fax |
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Provider Business Mailing Address
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Address Line | 1870 N CORPORATE LAKES BLVD UNIT 266114
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City | WESTON
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State | FL
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Zip | 33326-8800
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNDER
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Name | DR. SU BIN KIM
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Credential | MD
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Telephone | 917-399-8112
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number |
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License Number State |
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