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General NPI Number Information
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NPI Number | 1114923299
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Entity Type | Individual
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Provider Name | PAUL S KIM M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/23/2005
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Last Update Date | 01/20/2010
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Provider Practice Location Address
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Address Line | 3159 HENDERSONVILLE ROAD
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City | FLETCHER
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State | NC
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Zip | 28732
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Country | US
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Telephone | 828-687-9993
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Fax | 828-687-2491
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Provider Business Mailing Address
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Address Line | PO BOX 38
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City | FLETCHER
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State | NC
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Zip | 28732-0038
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Country | US
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Telephone | 828-687-9993
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Fax | 828-687-2491
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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 | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | 20000490
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License Number State | NC
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