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General NPI Number Information
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NPI Number | 1114225539
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Entity Type | Organization
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Legal Business Name | HUISOON KIM PROFESSIONAL
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Dates
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Enumeration Date | 03/09/2011
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Last Update Date | 03/09/2011
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Provider Practice Location Address
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Address Line | 1619 S H ST
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City | BAKERSFIELD
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State | CA
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Zip | 93304-4931
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Country | US
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Telephone | 661-831-2400
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Fax | 661-831-2430
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Provider Business Mailing Address
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Address Line | 1619 S H ST
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City | BAKERSFIELD
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State | CA
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Zip | 93304-4931
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Country | US
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Telephone | 661-831-2400
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Fax | 661-831-2430
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Authorized Official
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Title or Position | PRESIDENT
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Name | HUISOON KIM
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Credential | D.AC
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Telephone | 661-831-2400
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number | AC 13644
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number | AC 9661
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License Number State | CA
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