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General NPI Number Information
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NPI Number | 1437720794
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Entity Type | Individual
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Provider Name | YOONSUN LIM KANG DDS
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Gender | Female
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Dates
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Enumeration Date | 07/08/2021
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Last Update Date | 07/08/2021
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Provider Practice Location Address
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Address Line | 1630 PLEASANT HILL RD STE 200
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City | DULUTH
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State | GA
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Zip | 30096-5828
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Country | US
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Telephone | 700-381-7878
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Fax |
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Provider Business Mailing Address
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Address Line | 1125 HANNAFORD LN
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City | JOHNS CREEK
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State | GA
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Zip | 30097-6502
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Country | US
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Telephone | 312-965-0517
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | DN122404
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License Number State | GA
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