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General NPI Number Information
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NPI Number | 1376641332
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Entity Type | Individual
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Provider Name | KIM MAKOI D.C.
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Gender | Male
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Dates
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Enumeration Date | 09/20/2006
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Last Update Date | 11/14/2023
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Provider Practice Location Address
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Address Line | 459 FULTON ST STE 105
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City | SAN FRANCISCO
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State | CA
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Zip | 94102-4364
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Country | US
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Telephone | 415-864-2975
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Fax | 415-707-2011
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Provider Business Mailing Address
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Address Line | 601 VAN NESS AVE APT 52
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City | SAN FRANCISCO
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State | CA
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Zip | 94102-3263
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Country | US
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Telephone | 415-864-2975
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Fax | 415-707-2011
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | DC 25549
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License Number State | CA
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