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General NPI Number Information
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NPI Number | 1396484150
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Entity Type | Individual
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Provider Name | VIVIAN HOI HING YIM M.D.
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Gender | Female
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Dates
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Enumeration Date | 05/31/2022
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Last Update Date | 10/16/2025
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Provider Practice Location Address
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Address Line | 25-1 HAMJEONG-RT
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City | PAENGSEONG-EUP, PYEONGTAEK
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State | GYEONGGI-DO
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Zip | 96271
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Country | KR
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Telephone |
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Fax |
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Provider Business Mailing Address
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Address Line | YIM VIVIAN H. PCS 400 BOX 10736
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City | APO
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State | AP
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Zip | 96273-0108
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | V0234
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License Number State | TX
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