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General NPI Number Information
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NPI Number | 1588060636
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Entity Type | Individual
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Provider Name | SUYUN KIM
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Gender | Female
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Dates
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Enumeration Date | 11/17/2014
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Last Update Date | 03/27/2023
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Provider Practice Location Address
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Address Line | BRIAN D. ALLGOOD ARMY COMMUNITY HOSPITAL BLDG. 3031, CAMP HUMPHREYS
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City | APO
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State | AP
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Zip | 96271
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Country | US
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Telephone | 315-737-3550
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Fax |
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Provider Business Mailing Address
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Address Line | BRIAN D. ALLGOOD ARMY COMMUNITY HOSPITAL BLDG. 3031, CAMP HUMPHREYS
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City | APO
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State | AP
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Zip | 96271
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | AP60511741
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 95009213
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 0024178414
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License Number State | VA
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Taxonomy #4
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 0024178414
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License Number State | VA
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