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General NPI Number Information
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NPI Number | 1376707224
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Entity Type | Individual
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Provider Name | INAH KIM MD
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Gender | Female
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Dates
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Enumeration Date | 07/10/2008
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Last Update Date | 12/07/2018
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Provider Practice Location Address
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Address Line | 5633 N LIDGERWOOD ST
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City | SPOKANE
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State | WA
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Zip | 99208
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Country | US
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Telephone | 509-942-2909
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Fax | 509-227-7070
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Provider Business Mailing Address
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Address Line | 101 W 8TH AVENUE MOTHER GAMELIN BLDG, 3RD FLOOR, ROOM 207305
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City | SPOKANE
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State | WA
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Zip | 99204
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Country | US
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Telephone | 509-474-6842
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Fax | 509-474-6606
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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 | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | MD60549183
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 12314
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License Number State | ND
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Taxonomy #3
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 4301099770
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License Number State | MI
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Taxonomy #4
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | MD60549183
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License Number State | WA
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Taxonomy #5
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | 4301099770
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License Number State | MI
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Taxonomy #6
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | 12314
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License Number State | ND
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