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General NPI Number Information
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NPI Number | 1508084179
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Entity Type | Individual
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Provider Name | WILLIAM W. KIM D.C.
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Gender | Male
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Dates
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Enumeration Date | 04/20/2007
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Last Update Date | 02/24/2020
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Provider Practice Location Address
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Address Line | 725 SKIPPACK PIKE STE 335
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City | BLUE BELL
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State | PA
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Zip | 19422-1749
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Country | US
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Telephone | 610-313-0960
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Fax |
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Provider Business Mailing Address
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Address Line | 425 FAYETTE ST UNIT 21
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City | CONSHOHOCKEN
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State | PA
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Zip | 19428-5400
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Country | US
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Telephone | 484-480-8400
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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 | 111NN1001X
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Taxonomy Name | Nutrition Chiropractor
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License Number | AJ009433
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 111NR0400X
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Taxonomy Name | Rehabilitation Chiropractor
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License Number | AJ009433
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 111NS0005X
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Taxonomy Name | Sports Physician Chiropractor
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License Number | DC009631
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License Number State | PA
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Taxonomy #4
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | DC009631
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License Number State | PA
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