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General NPI Number Information
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NPI Number | 1336071869
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Entity Type | Individual
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Provider Name | MRS. SORA KANG
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Gender | Female
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Dates
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Enumeration Date | 06/01/2026
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Last Update Date | 06/01/2026
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Provider Practice Location Address
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Address Line | 15-4, SAEMAL-GIL, BONGDAM-EUP UNIT 203, BLDG 104, LINE VILLAGE
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City | HWASEONG-SI
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State | GYEONGGIDO
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Zip | 18303
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Country | KR
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Telephone |
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Fax |
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Provider Business Mailing Address
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Address Line | 15-4, SAEMAL-GIL, BONGDAM-EUP UNIT 203, BLDG 104, LINE VILLAGE
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City | HWASEONG-SI
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State | GYEONGGIDO
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Zip | 18303
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Country | KR
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Telephone |
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | 14282959-3502
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License Number State | UT
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Taxonomy #2
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | 150.129187
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License Number State | IL
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Taxonomy #3
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | CSW04465
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License Number State | RI
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