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General NPI Number Information
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NPI Number | 1356166177
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Entity Type | Individual
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Provider Name | DR. EUNICE HOPE JIMI KIM
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Gender | Female
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Dates
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Enumeration Date | 11/18/2024
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Last Update Date | 11/18/2024
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Provider Practice Location Address
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Address Line | 7250 CLEARVISTA DR
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City | INDIANAPOLIS
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State | IN
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Zip | 46256-4692
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Country | US
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Telephone | 321-762-1167
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Fax |
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Provider Business Mailing Address
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Address Line | 7250 CLEARVISTA DR STE 260
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City | INDIANAPOLIS
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State | IN
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Zip | 46256-4686
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Country | US
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Telephone | 317-621-1672
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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 | 1835I0206X
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Taxonomy Name | Infectious Diseases Pharmacist
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License Number | 26031067A
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License Number State | IN
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