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General NPI Number Information
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NPI Number | 1427245984
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Entity Type | Individual
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Provider Name | DO YOUNG KIM DC
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Gender | Male
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Dates
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Enumeration Date | 09/28/2007
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Last Update Date | 06/21/2011
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Provider Practice Location Address
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Address Line | 1299 OLD PEACHTREE RD NW SUITE # 101
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City | SUWANEE
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State | GA
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Zip | 30024-2028
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Country | US
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Telephone | 770-882-6666
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Fax | 770-252-6800
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Provider Business Mailing Address
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Address Line | 1299 OLD PEACHTREE RD NW SUITE # 101
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City | SUWANEE
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State | GA
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Zip | 30024-2028
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Country | US
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Telephone | 770-882-6666
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Fax | 770-252-6800
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | CHIR008162
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 111NN1001X
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Taxonomy Name | Nutrition Chiropractor
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License Number | CHIR008162
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License Number State | GA
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Taxonomy #3
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Taxonomy Code | 111NX0800X
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Taxonomy Name | Orthopedic Chiropractor
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License Number | CHIR008162
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License Number State | GA
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Taxonomy #4
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Taxonomy Code | 111NR0400X
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Taxonomy Name | Rehabilitation Chiropractor
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License Number | CHIR008162
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License Number State | GA
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