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General NPI Number Information
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NPI Number | 1386350130
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Entity Type | Organization
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Legal Business Name | KATHERINE KIM, M.D., P.C.
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Dates
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Enumeration Date | 01/25/2023
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Last Update Date | 11/22/2024
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Provider Practice Location Address
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Address Line | 928 BROADWAY STE 1100
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City | NEW YORK
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State | NY
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Zip | 10010-8115
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Country | US
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Telephone | 917-540-5916
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Fax | 917-900-1912
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Provider Business Mailing Address
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Address Line | 928 BROADWAY STE 1100
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City | NEW YORK
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State | NY
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Zip | 10010-8115
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Country | US
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Telephone | 917-540-5916
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | KATHERINE KIM
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Credential | MD
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Telephone | 917-540-5916
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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