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General NPI Number Information
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NPI Number | 1629300033
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Entity Type | Individual
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Provider Name | SOO JIN KIM ACNP-BC
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Gender | Female
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Dates
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Enumeration Date | 02/10/2010
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Last Update Date | 02/10/2010
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Provider Practice Location Address
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Address Line | 820 S DAMEN AVE
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City | CHICAGO
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State | IL
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Zip | 60612-3728
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Country | US
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Telephone | 847-477-0899
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Fax |
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Provider Business Mailing Address
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Address Line | 1820 N ANDOA LN
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City | MOUNT PROSPECT
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State | IL
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Zip | 60056-1629
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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 | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | 209007605
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License Number State | IL
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