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General NPI Number Information
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NPI Number | 1235813528
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Entity Type | Organization
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Legal Business Name | JKIM NURSING, INC
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Dates
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Enumeration Date | 06/15/2023
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Last Update Date | 06/15/2023
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Provider Practice Location Address
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Address Line | 3657 VAN BUREN BLVD
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City | RIVERSIDE
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State | CA
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Zip | 92503-4249
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Country | US
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Telephone | 909-238-7966
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Fax |
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Provider Business Mailing Address
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Address Line | 9961 KAYLOR AVE
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City | LOS ALAMITOS
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State | CA
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Zip | 90720-2225
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Country | US
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Telephone | 909-238-7966
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | JOANNE KIM
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Credential | N.P.
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Telephone | 909-238-7966
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP3300X
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Taxonomy Name | Pain Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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