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General NPI Number Information
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NPI Number | 1396076196
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Entity Type | Individual
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Provider Name | HE-KYUNG KIM-YU D.M.D.
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Gender | Female
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Dates
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Enumeration Date | 01/19/2010
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Last Update Date | 01/19/2010
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Provider Practice Location Address
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Address Line | 1222 WELSH RD SUITE: G
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City | NORTH WALES
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State | PA
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Zip | 19454-2054
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Country | US
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Telephone | 215-362-3000
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Fax | 267-263-1499
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Provider Business Mailing Address
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Address Line | 1222 WELSH RD SUITE: G
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City | NORTH WALES
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State | PA
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Zip | 19454-2054
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Country | US
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Telephone | 215-362-3000
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Fax | 267-263-1499
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | DS-026455-L
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License Number State | PA
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