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General NPI Number Information
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NPI Number | 1275856395
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Entity Type | Individual
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Provider Name | KIMBERLY CHIN O.D.
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Gender | Female
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Dates
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Enumeration Date | 03/03/2010
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Last Update Date | 03/03/2010
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Provider Practice Location Address
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Address Line | 115 E 61ST ST SUITE 5B
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City | NEW YORK
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State | NY
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Zip | 10065-8183
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Country | US
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Telephone | 212-832-8170
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Fax | 212-888-4030
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Provider Business Mailing Address
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Address Line | 29 BUSH RD
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City | DENVILLE
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State | NJ
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Zip | 07834-2906
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Country | US
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Telephone | 201-913-2795
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Fax | 212-888-4030
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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 | T006468
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License Number State | NY
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