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General NPI Number Information
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NPI Number | 1366322604
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Entity Type | Individual
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Provider Name | LILIAN HUYEN KIM
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Gender | Female
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Dates
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Enumeration Date | 09/05/2025
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Last Update Date | 09/05/2025
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Provider Practice Location Address
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Address Line | 6525 N DECATUR BLVD STE 150
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City | LAS VEGAS
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State | NV
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Zip | 89131-2993
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Country | US
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Telephone | 702-577-1941
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Fax |
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Provider Business Mailing Address
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Address Line | 8888 N GRAND CANYON DR APT 10-3104
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City | LAS VEGAS
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State | NV
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Zip | 89166-6812
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Country | US
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 8307
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License Number State | NV
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