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General NPI Number Information
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NPI Number | 1184870347
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Entity Type | Organization
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Legal Business Name | BERNARD E. KIM, D.M.D., INC.
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Dates
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Enumeration Date | 08/07/2008
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Last Update Date | 08/07/2008
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Provider Practice Location Address
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Address Line | 2184 SAVIERS RD
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City | OXNARD
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State | CA
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Zip | 93033-3825
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Country | US
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Telephone | 805-486-2396
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Fax | 805-486-9607
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Provider Business Mailing Address
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Address Line | 2184 SAVIERS RD
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City | OXNARD
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State | CA
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Zip | 93033-3825
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Country | US
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Telephone | 805-486-2396
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Fax | 805-486-9607
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. BERNARD EUGENE KIM
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Credential | D.M.D.
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Telephone | 805-486-2396
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number | 49348
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License Number State | CA
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