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General NPI Number Information
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NPI Number | 1477072353
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Entity Type | Organization
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Legal Business Name | DR. KIM, L.L.C.
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Dates
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Enumeration Date | 09/12/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 324 W NORFOLK AVE
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City | NORFOLK
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State | NE
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Zip | 68701-5233
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Country | US
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Telephone | 402-316-4641
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Fax |
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Provider Business Mailing Address
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Address Line | 324 W NORFOLK AVE
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City | NORFOLK
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State | NE
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Zip | 68701-5233
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Country | US
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Telephone | 402-316-4641
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Fax |
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Authorized Official
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Title or Position | CHIROPRACTOR/OWNER
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Name | DR. KIMBERLY KAREN THOR-ADAMS
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Credential | DC
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Telephone | 402-316-4641
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 1584
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License Number State | NE
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