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General NPI Number Information
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NPI Number | 1609061340
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Entity Type | Individual
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Provider Name | KIM DAO D.M.D
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Gender | Male
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Dates
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Enumeration Date | 09/06/2007
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Last Update Date | 07/19/2023
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Provider Practice Location Address
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Address Line | 110 WILLIAM ST
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City | NEWARK
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State | NJ
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Zip | 07102-1304
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Country | US
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Telephone | 973-733-4396
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Fax |
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Provider Business Mailing Address
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Address Line | 397 DRACO RD
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City | PISCATAWAY
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State | NJ
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Zip | 08854-5475
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Country | US
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Telephone | 732-322-1441
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 22DI02354300
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License Number State | NJ
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