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General NPI Number Information
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NPI Number | 1447389135
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Entity Type | Individual
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Provider Name | KANGIHNN PAIK M.D.
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Gender | Male
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Dates
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Enumeration Date | 03/06/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 3188 W OLYMPIC BLVD
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City | LOS ANGELES
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State | CA
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Zip | 90006-2421
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Country | US
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Telephone | 323-766-9688
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Fax |
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Provider Business Mailing Address
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Address Line | 251 S MCCADDEN PL
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City | LOS ANGELES
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State | CA
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Zip | 90004-1053
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Country | US
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Telephone | 323-938-6706
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Fax | 323-766-9682
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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 | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | A34525
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License Number State | CA
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