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General NPI Number Information
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NPI Number | 1235593427
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Entity Type | Individual
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Provider Name | THOMAS KIM DO
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Gender | Male
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Dates
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Enumeration Date | 04/13/2016
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Last Update Date | 04/25/2024
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Provider Practice Location Address
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Address Line | 2520 CHERRY AVE STE 288
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City | SIGNAL HILL
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State | CA
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Zip | 90755-2032
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Country | US
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Telephone | 909-345-0340
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Fax | 909-760-3459
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Provider Business Mailing Address
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Address Line | 863 TERRACE LN W UNIT 6
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City | DIAMOND BAR
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State | CA
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Zip | 91765-4562
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Country | US
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Telephone | 626-808-3121
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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 | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | 16264
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License Number State | CA
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