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General NPI Number Information
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NPI Number | 1619924172
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Entity Type | Individual
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Provider Name | BYUNG Y KIM M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/30/2006
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Last Update Date | 11/15/2007
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Provider Practice Location Address
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Address Line | 400 E MAIN ST ANESTHESIA ASSOC. OF MOUNT KISCO
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City | MOUNT KISCO
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State | NY
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Zip | 10549-3417
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Country | US
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Telephone | 914-666-4050
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Fax | 914-666-5012
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Provider Business Mailing Address
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Address Line | PO BOX 27391
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City | NEW YORK
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State | NY
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Zip | 10087-7391
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Country | US
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Telephone | 800-720-1664
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Fax | 207-753-2020
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 128325
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License Number State | NY
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