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General NPI Number Information
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NPI Number | 1437426673
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Entity Type | Organization
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Legal Business Name | HONG S KANG, M.D. INC.
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Dates
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Enumeration Date | 11/16/2011
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Last Update Date | 11/16/2011
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Provider Practice Location Address
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Address Line | 1825 OAKLAND AVE STE 3B
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City | PORTSMOUTH
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State | OH
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Zip | 45662-2937
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Country | US
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Telephone | 740-354-4660
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Fax | 740-354-2465
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Provider Business Mailing Address
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Address Line | 1825 OAKLAND AVE STE 3B
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City | PORTSMOUTH
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State | OH
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Zip | 45662-2937
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Country | US
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Telephone | 740-354-4660
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Fax | 740-354-2465
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Authorized Official
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Title or Position | PRESIDENT
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Name | HONG SIK KANG
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Credential | M.D.
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Telephone | 740-354-4660
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 323P00000X
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Taxonomy Name | Psychiatric Residential Treatment Facility
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License Number | 35-043022
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License Number State | OH
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