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General NPI Number Information
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NPI Number | 1134502172
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Entity Type | Individual
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Provider Name | KIM QUACH N.P.
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Gender | Female
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Dates
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Enumeration Date | 07/08/2015
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Last Update Date | 06/25/2026
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Provider Practice Location Address
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Address Line | 199 SCOTT ST FL 8
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City | BUFFALO
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State | NY
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Zip | 14204-2208
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Country | US
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Telephone | 917-261-4414
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Fax |
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Provider Business Mailing Address
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Address Line | 199 SCOTT ST FL 8
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City | BUFFALO
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State | NY
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Zip | 14204-2208
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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 |
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | RN2377450
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 1144660
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 850720
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License Number State | CA
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Taxonomy #4
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 041555192
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License Number State | IL
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Taxonomy #5
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 657159
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License Number State | NY
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Taxonomy #6
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 277004046
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License Number State | IL
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Taxonomy #7
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 26NR18225600
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License Number State | NJ
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Taxonomy #8
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | F340606-1
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License Number State | NY
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Taxonomy #9
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN2377450
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License Number State | MA
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Taxonomy #10
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 26NJ00639900
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License Number State | NJ
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Taxonomy #11
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 11592
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License Number State | CT
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Taxonomy #12
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 95025238
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License Number State | CA
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