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General NPI Number Information
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NPI Number | 1235550716
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Entity Type | Organization
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Legal Business Name | ANN KIM MD PC
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Dates
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Enumeration Date | 12/30/2013
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Last Update Date | 12/30/2013
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Provider Practice Location Address
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Address Line | 44 SYLVAN AVE SUITE 2D
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City | ENGLEWOOD CLIFFS
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State | NJ
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Zip | 07632-2426
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Country | US
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Telephone | 201-585-0957
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Fax | 201-585-0944
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Provider Business Mailing Address
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Address Line | 132 ANDERSON AVE
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City | CLOSTER
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State | NJ
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Zip | 07624-2330
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Country | US
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Telephone | 201-585-0957
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Fax | 201-585-0944
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ANN D KIM
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Credential | MD
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Telephone | 201-961-2808
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State | NJ
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