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General NPI Number Information
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NPI Number | 1194395053
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Entity Type | Individual
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Provider Name | JIHEE KIM FNP
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Gender | Female
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Dates
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Enumeration Date | 07/01/2021
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Last Update Date | 03/26/2025
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Provider Practice Location Address
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Address Line | 18773 COLIMA RD
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City | ROWLAND HEIGHTS
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State | CA
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Zip | 91748-2949
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Country | US
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Telephone | 626-986-4899
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Fax |
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Provider Business Mailing Address
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Address Line | 954 S RIM CREST DR
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City | ANAHEIM
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State | CA
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Zip | 92807-4537
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Country | US
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Telephone |
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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 | 163WM0705X
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Taxonomy Name | Medical-Surgical Registered Nurse
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License Number | 95028630
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 95023194
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License Number State | CA
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