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General NPI Number Information
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NPI Number | 1407912322
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Entity Type | Individual
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Provider Name | EUK HYUN KIM MD
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Gender | Male
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Dates
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Enumeration Date | 12/28/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 228 LAFAYETTE ST
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City | NEWARK
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State | NJ
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Zip | 07105
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Country | US
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Telephone | 973-465-2677
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Fax | 973-465-2862
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Provider Business Mailing Address
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Address Line | 65 ASH STREET
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City | ENGLEWOOD CLIFFS
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State | NJ
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Zip | 07632
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Country | US
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Telephone | 201-567-2497
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | MA29489
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License Number State | NJ
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