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General NPI Number Information
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NPI Number | 1629402904
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Entity Type | Individual
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Provider Name | JOOYOUNG KIM D.M.D
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Gender | Female
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Dates
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Enumeration Date | 08/22/2013
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Last Update Date | 08/27/2020
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Provider Practice Location Address
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Address Line | 1002 E EL CAMINO REAL
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City | SUNNYVALE
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State | CA
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Zip | 94087-3759
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Country | US
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Telephone | 408-523-2828
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Fax |
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Provider Business Mailing Address
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Address Line | 52 CAMELOT CT
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City | ALAMO
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State | CA
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Zip | 94507-1747
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 62597
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License Number State | CA
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