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General NPI Number Information
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NPI Number | 1629155205
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Entity Type | Individual
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Provider Name | KEM SU HOR M.D.
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Gender | Female
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Dates
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Enumeration Date | 11/01/2006
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 160 W FILLMORE ST
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City | COLORADO SPRINGS
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State | CO
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Zip | 80907-6155
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Country | US
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Telephone | 719-636-1299
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Fax | 719-636-9166
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Provider Business Mailing Address
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Address Line | PO BOX 15497
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City | COLORADO SPRINGS
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State | CO
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Zip | 80935-5497
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Country | US
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Telephone | 719-473-4030
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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 | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | 39335
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License Number State | CO
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