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General NPI Number Information
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NPI Number | 1316124431
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Entity Type | Individual
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Provider Name | KIM CHONG M.D.
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Gender | Female
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Dates
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Enumeration Date | 01/31/2008
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Last Update Date | 12/21/2021
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Provider Practice Location Address
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Address Line | 9449 IMPERIAL HWY
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City | DOWNEY
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State | CA
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Zip | 90242-2814
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Country | US
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Telephone | 800-823-4040
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 3816
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City | ALHAMBRA
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State | CA
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Zip | 91803-0816
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Country | US
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Telephone | 909-996-1329
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | A100213
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License Number State | CA
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