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General NPI Number Information
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NPI Number | 1194848291
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Entity Type | Individual
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Provider Name | KIM FONG L.AC.P.T.
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Gender | Female
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Dates
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Enumeration Date | 04/06/2007
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 415 RAHWAY AVE 1ST FLOOR, REAR
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City | WESTFIELD
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State | NJ
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Zip | 07090-3371
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Country | US
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Telephone | 908-301-9055
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Fax | 908-301-9056
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Provider Business Mailing Address
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Address Line | 415 RAHWAY AVE 1ST FLOOR, REAR
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City | WESTFIELD
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State | NJ
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Zip | 07090-3371
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Country | US
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Telephone | 908-301-9055
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Fax | 908-301-9056
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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 | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | 25MZ00021400
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 2251P0200X
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Taxonomy Name | Pediatric Physical Therapist
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License Number | 40QA00680100
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License Number State | NJ
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Taxonomy #3
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Taxonomy Code | 2251X0800X
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Taxonomy Name | Orthopedic Physical Therapist
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License Number | 40QA00680100
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License Number State | NJ
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