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General NPI Number Information
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NPI Number | 1467481275
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Entity Type | Organization
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Legal Business Name | KIM CHIROPRACTIC & REHAB CENTER - BLUE BELL INC
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Dates
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Enumeration Date | 07/02/2006
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Last Update Date | 06/12/2023
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Provider Practice Location Address
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Address Line | 7301 MOUNTAIN AVENUE
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City | ELKINS PARK
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State | PA
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Zip | 19027
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Country | US
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Telephone | 215-782-1237
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Fax | 215-782-1239
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Provider Business Mailing Address
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Address Line | 921 W CHELTENHAM AVE
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City | ELKINS PARK
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State | PA
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Zip | 19027-3208
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Country | US
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Telephone | 215-782-1237
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Fax | 215-782-1239
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Authorized Official
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Title or Position | DOCTOR
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Name | DR. JHAN D KIM
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Credential | D.C.
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Telephone | 267-342-0178
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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 |
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License Number State |
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