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General NPI Number Information
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NPI Number | 1205882388
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Entity Type | Individual
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Provider Name | NANCY ANN KIM PHD
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Gender | Female
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Dates
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Enumeration Date | 05/26/2006
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Last Update Date | 08/30/2025
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Provider Practice Location Address
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Address Line | 3247 CAMINO DE LOS COCHES STE 200
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City | CARLSBAD
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State | CA
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Zip | 92009-8970
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Country | US
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Telephone | 760-452-6387
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Fax | 833-330-2628
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Provider Business Mailing Address
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Address Line | PO BOX 45182
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City | SAN DIEGO
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State | CA
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Zip | 92145
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Country | US
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Telephone | 916-622-1025
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PSY14342
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License Number State | CA
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