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General NPI Number Information
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NPI Number | 1396970174
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Entity Type | Individual
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Provider Name | JENNIFER KIM HEARING INSTRUMENT S
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Gender | Female
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Dates
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Enumeration Date | 05/21/2009
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Last Update Date | 05/21/2009
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Provider Practice Location Address
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Address Line | 1020 E. BASTANCHURY ROAD
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City | FULLERTON
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State | CA
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Zip | 92835-2782
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Country | US
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Telephone | 714-672-9445
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Fax | 714-672-9448
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Provider Business Mailing Address
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Address Line | 1020 E. BASTANCHURY ROAD
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City | FULLERTON
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State | CA
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Zip | 92835-2782
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Country | US
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Telephone | 714-672-9445
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Fax | 714-672-9448
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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 | 237700000X
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Taxonomy Name | Hearing Instrument Specialist
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License Number | HA 2953
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License Number State | CA
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