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General NPI Number Information
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NPI Number | 1255254157
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Entity Type | Individual
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Provider Name | ESTHER KIM OD
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Gender | Female
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Dates
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Enumeration Date | 07/30/2026
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Last Update Date | 07/30/2026
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Provider Practice Location Address
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Address Line | 4500 STUART ST, COLUMBIA, SC
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City | APO
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State | AA
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Zip | 29207
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Country | US
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Telephone | 803-751-2160
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Fax |
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Provider Business Mailing Address
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Address Line | 2005 CRAIG RD SE
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City | OLYMPIA
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State | WA
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Zip | 98501-2872
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Country | US
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Telephone | 510-570-6236
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 70136015
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License Number State | WA
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