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NPI 1366506206

NPI 1366506206 : DAVID MYUNG-SUP KANG M.D. : SAN FRANCISCO, CA

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General NPI Number Information
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    NPI Number           |    1366506206
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    Entity Type          |    Individual 
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    Provider Name        |    DAVID MYUNG-SUP KANG M.D.
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    12/21/2006
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    Last Update Date     |    03/13/2008
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Provider Practice Location Address
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    Address Line         |    950 STOCKTON ST SIUTE 202
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    City                 |    SAN FRANCISCO
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    State                |    CA
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    Zip                  |    94108-1633
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    Country              |    US
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    Telephone            |    415-827-3323
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    Fax                  |    415-986-9500
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Provider Business Mailing Address
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    Address Line         |    950 STOCKTON ST SIUTE 202
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    City                 |    SAN FRANCISCO
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    State                |    CA
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    Zip                  |    94108-1633
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    Country              |    US
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    Telephone            |    415-827-3323
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    Fax                  |    415-986-9500
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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        |    208600000X
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    Taxonomy Name        |    Surgery Physician
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    License Number       |    G73548
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    License Number State |    CA
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