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NPI 1568834570

NPI 1568834570 : DUKE H KIM,DDS,PC : ARLINGTON, VA

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General NPI Number Information
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    NPI Number           |    1568834570
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    Entity Type          |    Organization 
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    Legal Business Name  |    DUKE H KIM,DDS,PC 
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Dates
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    Enumeration Date     |    10/29/2015
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    Last Update Date     |    10/29/2015
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Provider Practice Location Address
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    Address Line         |    900 N TAYLOR ST #150
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    City                 |    ARLINGTON
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    State                |    VA
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    Zip                  |    22203-1858
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    Country              |    US
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    Telephone            |    703-931-5555
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    Fax                  |    703-778-4098
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Provider Business Mailing Address
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    Address Line         |    900 N TAYLOR ST #150
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    City                 |    ARLINGTON
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    State                |    VA
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    Zip                  |    22203-1858
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    Country              |    US
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    Telephone            |    703-931-5555
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    Fax                  |    703-778-4098
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Authorized Official
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    Title or Position    |    DENTIST/OWNER
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    Name                 |    DR. DUKE H KIM 
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    Credential           |    DDS
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    Telephone            |    703-931-5555
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    1223G0001X
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    Taxonomy Name        |    General Practice Dentistry
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    License Number       |    
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    License Number State |    
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