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General NPI Number Information
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NPI Number | 1558655191
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Entity Type | Individual
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Provider Name | VICTOR LEE KIM DO
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Gender | Male
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Dates
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Enumeration Date | 05/31/2011
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Last Update Date | 03/27/2025
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Provider Practice Location Address
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Address Line | 6655 W SAHARA AVE STE D104
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City | LAS VEGAS
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State | NV
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Zip | 89146-0846
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Country | US
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Telephone | 725-205-2457
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Fax | 725-240-7742
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Provider Business Mailing Address
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Address Line | 6655 W SAHARA AVE STE D104
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City | LAS VEGAS
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State | NV
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Zip | 89146-0846
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Country | US
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Telephone | 725-205-2457
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Fax | 725-240-7742
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | DO2151
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License Number State | NV
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | OS12867
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License Number State | FL
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