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General NPI Number Information
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NPI Number | 1609246925
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Entity Type | Organization
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Legal Business Name | JAMES KIM MD PC
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Dates
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Enumeration Date | 09/29/2015
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Last Update Date | 02/03/2017
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Provider Practice Location Address
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Address Line | 1123 S MAIN ST
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City | REIDSVILLE
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State | NC
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Zip | 27320-5339
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Country | US
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Telephone | 336-349-4286
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Fax | 336-349-5986
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Provider Business Mailing Address
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Address Line | 2548 N BEECH LN
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City | GREENSBORO
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State | NC
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Zip | 27455-1276
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Country | US
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Telephone | 336-501-1653
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | JAMES KIM
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Credential | MD
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Telephone | 336-501-1628
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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