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General NPI Number Information
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NPI Number | 1518827294
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Entity Type | Individual
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Provider Name | NAHYUN KANG
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Gender |
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Dates
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Enumeration Date | 11/14/2025
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Last Update Date | 11/14/2025
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Provider Practice Location Address
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Address Line | 3710 TWEEDY BLVD
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City | SOUTH GATE
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State | CA
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Zip | 90280-6046
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Country | US
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Telephone | 323-249-9944
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Fax |
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Provider Business Mailing Address
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Address Line | 5613 RIVER WAY APT D
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City | BUENA PARK
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State | CA
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Zip | 90621-1770
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Country | US
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Telephone |
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | RPH90272
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License Number State | CA
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