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General NPI Number Information
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NPI Number | 1265646731
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Entity Type | Organization
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Legal Business Name | HYO KIM, M.D.,INC.
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Dates
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Enumeration Date | 05/10/2007
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Last Update Date | 01/28/2022
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Provider Practice Location Address
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Address Line | 2022 NORTH RD SE
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City | WARREN
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State | OH
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Zip | 44484-3301
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Country | US
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Telephone | 330-989-5010
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Fax | 330-989-5019
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Provider Business Mailing Address
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Address Line | 2022 NORTH RD SE
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City | WARREN
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State | OH
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Zip | 44484-3301
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Country | US
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Telephone | 330-989-5010
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Fax | 330-989-5019
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. HYO H KIM
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Credential | MD
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Telephone | 330-989-5010
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 35056977
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License Number State | OH
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