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General NPI Number Information
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NPI Number | 1285157487
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Entity Type | Individual
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Provider Name | ROSY MINHYE KIM DDS
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Gender | Female
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Dates
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Enumeration Date | 07/19/2017
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Last Update Date | 04/14/2025
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Provider Practice Location Address
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Address Line | 144 BOSTON AVE
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City | BRIDGEPORT
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State | CT
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Zip | 06610-1604
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Country | US
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Telephone | 475-422-8761
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Fax |
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Provider Business Mailing Address
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Address Line | 760 ROUTE 46 # 1019
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City | PARSIPPANY
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State | NJ
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Zip | 07054-3401
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Country | US
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Telephone | 909-296-2338
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | DS043043
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 101567
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 13317
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License Number State | CT
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Taxonomy #4
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Taxonomy Code | 1223D0004X
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Taxonomy Name | Dental Anesthesiology
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License Number | GA2011
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License Number State | CA
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