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General NPI Number Information
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NPI Number | 1205032984
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Entity Type | Individual
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Provider Name | SEUNG W. KIM M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/21/2007
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Last Update Date | 04/03/2017
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Provider Practice Location Address
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Address Line | 7780 BRIER CREEK PKWY SUITE 200
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City | RALEIGH
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State | NC
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Zip | 27617-7869
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Country | US
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Telephone | 919-596-3400
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Fax | 919-596-3499
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Provider Business Mailing Address
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Address Line | 7780 BRIER CREEK PKWY STE. 200
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City | RALEIGH
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State | NC
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Zip | 27617-7849
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Country | US
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Telephone | 919-596-3400
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Fax | 919-596-3499
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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 | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number | 2009-01151
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License Number State | NC
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