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General NPI Number Information
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NPI Number | 1427507664
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Entity Type | Individual
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Provider Name | JULIE MIN JEONG KIM A.P.
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Gender | Female
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Dates
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Enumeration Date | 09/29/2016
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Last Update Date | 11/14/2022
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Provider Practice Location Address
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Address Line | 9999 NE 2ND AVE STE 313
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City | MIAMI SHORES
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State | FL
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Zip | 33138-2346
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Country | US
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Telephone | 305-771-2115
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Fax |
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Provider Business Mailing Address
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Address Line | 455 NE 25TH ST APT 808
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City | MIAMI
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State | FL
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Zip | 33137-4757
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Country | US
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Telephone | 305-803-1050
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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 | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | AP3769
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License Number State | FL
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