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General NPI Number Information
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NPI Number | 1164031654
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Entity Type | Organization
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Legal Business Name | HARP ENDODONTICS PC
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Dates
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Enumeration Date | 07/30/2020
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Last Update Date | 07/30/2020
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Provider Practice Location Address
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Address Line | 121 E 60TH ST APT 10A
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City | NEW YORK
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State | NY
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Zip | 10022-1198
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Country | US
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Telephone | 646-784-0909
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Fax |
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Provider Business Mailing Address
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Address Line | 166 E 96TH ST APT 9B
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City | NEW YORK
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State | NY
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Zip | 10128-2533
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Country | US
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Telephone | 646-784-1578
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. SOOKYUNG KIM
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Credential | DDS
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Telephone | 646-784-0909
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223E0200X
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Taxonomy Name | Endodontics
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License Number |
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License Number State |
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