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General NPI Number Information
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NPI Number | 1487737714
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Entity Type | Individual
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Provider Name | DAVID S KIM MD
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Gender | Male
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Dates
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Enumeration Date | 10/23/2006
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Last Update Date | 09/07/2015
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Provider Practice Location Address
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Address Line | 929 N GALLOWAY AVE STE 220
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City | MESQUITE
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State | TX
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Zip | 75149-7413
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Country | US
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Telephone | 214-660-2533
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Fax | 214-660-2525
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Provider Business Mailing Address
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Address Line | PO BOX 851978
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City | MESQUITE
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State | TX
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Zip | 75185
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Country | US
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Telephone | 214-660-2533
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Fax | 214-660-2525
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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 | 207RI0200X
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Taxonomy Name | Infectious Disease Physician
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License Number | K9585
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License Number State | TX
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