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General NPI Number Information
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NPI Number | 1124319132
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Entity Type | Individual
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Provider Name | FRANK KIM M.D.
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Gender | Male
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Dates
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Enumeration Date | 04/25/2011
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Last Update Date | 02/08/2023
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Provider Practice Location Address
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Address Line | 20055 LAKE CHABOT RD STE 300
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City | CASTRO VALLEY
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State | CA
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Zip | 94546-5334
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Country | US
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Telephone | 510-538-7738
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Fax |
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Provider Business Mailing Address
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Address Line | 334 E 78TH ST #2
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City | NEW YORK
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State | NY
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Zip | 10075-2235
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Country | US
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Telephone | 301-529-3748
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Fax |
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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 | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | 254497
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 2084V0102X
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Taxonomy Name | Vascular Neurology Physician
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License Number | A100043
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License Number State | CA
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