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General NPI Number Information
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NPI Number | 1407281124
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Entity Type | Individual
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Provider Name | JOSEPH YOO KIM MD
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Gender | Male
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Dates
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Enumeration Date | 09/12/2013
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Last Update Date | 05/20/2025
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Provider Practice Location Address
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Address Line | 3186 S MARYLAND PKWY
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City | LAS VEGAS
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State | NV
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Zip | 89109-2317
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Country | US
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Telephone | 702-961-7310
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Fax |
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Provider Business Mailing Address
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Address Line | 10624 S EASTERN AVE
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City | HENDERSON
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State | NV
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Zip | 89052-2982
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Country | US
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Telephone | 702-407-7700
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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 | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | MD191591
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License Number State | OR
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Taxonomy #2
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | 21370
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License Number State | NV
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Taxonomy #3
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | 102626
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License Number State | GA
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Taxonomy #4
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Taxonomy Code | 2084V0102X
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Taxonomy Name | Vascular Neurology Physician
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License Number | 21370
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License Number State | NV
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Taxonomy #5
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number |
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License Number State |
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