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General NPI Number Information
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NPI Number | 1376612564
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Entity Type | Individual
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Provider Name | AIMEE JUNG AE KIM DMD
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Gender | Female
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Dates
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Enumeration Date | 11/06/2006
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Last Update Date | 10/24/2025
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Provider Practice Location Address
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Address Line | 30 AULIKE ST STE 404
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City | KAILUA
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State | HI
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Zip | 96734-2751
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Country | US
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Telephone | 808-235-3131
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Fax | 808-234-0127
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Provider Business Mailing Address
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Address Line | 30 AULIKE ST STE 404
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City | KAILUA
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State | HI
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Zip | 96734-2751
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Country | US
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Telephone | 808-235-3131
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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 | 1223E0200X
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Taxonomy Name | Endodontics
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License Number | DT2093
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License Number State | HI
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