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General NPI Number Information
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NPI Number | 1265004923
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Entity Type | Individual
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Provider Name | HYE SOOK KIM
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Gender | Female
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Dates
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Enumeration Date | 07/13/2021
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Last Update Date | 12/22/2025
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Provider Practice Location Address
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Address Line | 3012 E HEBRON PKWY STE 118
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City | CARROLLTON
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State | TX
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Zip | 75010-4461
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Country | US
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Telephone | 469-546-9903
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Fax |
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Provider Business Mailing Address
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Address Line | 230 S NOLEN DR BLDG 3
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City | SOUTHLAKE
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State | TX
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Zip | 76092-8078
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Country | US
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Telephone | 817-402-8250
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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 | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | 9314
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License Number State | TX
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