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General NPI Number Information
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NPI Number | 1154302644
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Entity Type | Individual
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Provider Name | KIM DONALD BEST P.A. CW-2 RET
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Gender | Male
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Dates
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Enumeration Date | 11/10/2005
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Last Update Date | 12/18/2007
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Provider Practice Location Address
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Address Line | 20290 S. FM 92 BOX 337
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City | FRED
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State | TX
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Zip | 77616-0337
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Country | US
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Telephone | 409-429-9494
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Fax | 409-980-9457
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Provider Business Mailing Address
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Address Line | 20290 S. FM 92 BOX 337
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City | FRED
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State | TX
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Zip | 77616-0337
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Country | US
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Telephone | 409-429-9494
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Fax | 409-980-9457
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA01332
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License Number State | TX
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