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General NPI Number Information
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NPI Number | 1184396962
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Entity Type | Individual
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Provider Name | KWANG-SEOK KANG BA-HS, RPHT, CIC
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Gender | Male
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Dates
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Enumeration Date | 09/30/2021
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Last Update Date | 07/11/2025
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Provider Practice Location Address
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Address Line | 211 CHURCH ST
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City | SARATOGA SPRINGS
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State | NY
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Zip | 12866-1090
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Country | US
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Telephone | 518-580-2687
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Fax | 518-580-4238
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Provider Business Mailing Address
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Address Line | 1887 9TH AVE
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City | WATERVLIET
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State | NY
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Zip | 12189-2507
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Country | US
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Telephone | 518-779-9955
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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 | 174H00000X
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Taxonomy Name | Health Educator
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 183700000X
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Taxonomy Name | Pharmacy Technician
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License Number | 000243-01
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 246ZB0600X
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Taxonomy Name | Biostatiscian
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License Number |
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License Number State |
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