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General NPI Number Information
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NPI Number | 1215914601
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Entity Type | Individual
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Provider Name | KYUNG MEE RO M.D.
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Gender | Female
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Dates
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Enumeration Date | 12/27/2005
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Last Update Date | 12/13/2021
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Provider Practice Location Address
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Address Line | 300 PASTEUR DR ROOM H1307 RADIOLOGY
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City | STANFORD
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State | CA
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Zip | 94305-2200
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Country | US
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Telephone | 650-723-8463
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Fax | 916-734-6548
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Provider Business Mailing Address
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Address Line | 300 PASTEUR DR ROOM H1307 RADIOLOGY
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City | STANFORD
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State | CA
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Zip | 94305-2200
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Country | US
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Telephone | 650-723-8463
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Fax | 916-734-6548
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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 | 2471C3402X
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Taxonomy Name | Radiography Radiologic Technologist
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License Number | A88570
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License Number State | CA
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