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General NPI Number Information
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NPI Number | 1346349727
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Entity Type | Individual
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Provider Name | DANIEL KIHONG KIM M.D.
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Gender | Male
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Dates
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Enumeration Date | 09/21/2006
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Last Update Date | 03/17/2018
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Provider Practice Location Address
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Address Line | D KIM, MD OPHTHALMOLOGY 314 SGT. S. PRENTISS
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City | NATCHEZ
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State | MS
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Zip | 39120
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Country | US
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Telephone | 601-442-3713
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Fax |
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Provider Business Mailing Address
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Address Line | 831 RICE RD APT 1104
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City | RIDGELAND
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State | MS
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Zip | 39157-3028
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Country | US
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Telephone | 601-812-9409
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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 | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 17329
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License Number State | MS
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