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General NPI Number Information
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NPI Number | 1669281416
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Entity Type | Organization
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Legal Business Name | RICHARDS AND KIM GROUP CORPORATION
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Dates
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Enumeration Date | 01/06/2025
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Last Update Date | 01/06/2025
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Provider Practice Location Address
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Address Line | 6613 N SCOTTSDALE RD STE 101
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City | SCOTTSDALE
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State | AZ
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Zip | 85250-7800
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Country | US
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Telephone | 833-568-0473
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Fax |
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Provider Business Mailing Address
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Address Line | 5701 W CHOLLA ST
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City | GLENDALE
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State | AZ
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Zip | 85304-3337
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Country | US
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Telephone | 562-822-2772
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. CHO LONG KIM
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Credential | NMD, PMHNP-BC
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Telephone | 562-822-2772
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 175F00000X
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Taxonomy Name | Naturopath
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 163WA2000X
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Taxonomy Name | Administrator Registered Nurse
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 207QA0401X
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Taxonomy Name | Addiction Medicine (Family Medicine) Physician
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License Number |
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License Number State |
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