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General NPI Number Information
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NPI Number | 1144630609
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Entity Type | Individual
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Provider Name | SARAH NAYOUNG KIM M.D.
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Gender | Female
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Dates
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Enumeration Date | 05/05/2014
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Last Update Date | 10/04/2019
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Provider Practice Location Address
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Address Line | 7668 ELDORADO PKWY STE 200
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City | MCKINNEY
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State | TX
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Zip | 75070-5753
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Country | US
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Telephone | 972-439-3753
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Fax | 972-439-3754
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Provider Business Mailing Address
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Address Line | 7668 ELDORADO PKWY STE 200
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City | MCKINNEY
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State | TX
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Zip | 75070-5753
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Country | US
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Telephone | 972-439-3753
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Fax | 972-439-3754
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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 | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | S3216
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License Number State | TX
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