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General NPI Number Information
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NPI Number | 1396113965
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Entity Type | Individual
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Provider Name | KRISTINE JIHAE KIM PHARMD
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Gender | Female
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Dates
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Enumeration Date | 09/12/2015
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Last Update Date | 12/05/2025
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Provider Practice Location Address
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Address Line | 4033 TALBOT RD S STE 260
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City | RENTON
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State | WA
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Zip | 98055-5767
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Country | US
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Telephone | 425-690-3533
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Fax | 425-690-9147
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Provider Business Mailing Address
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Address Line | 3915 TALBOT RD S STE 201
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City | RENTON
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State | WA
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Zip | 98055-5755
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Country | US
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Telephone |
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | PH60556194
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License Number State | WA
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