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General NPI Number Information
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NPI Number | 1679996102
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Entity Type | Individual
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Provider Name | KEVIN HUR MD
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Gender | Male
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Dates
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Enumeration Date | 02/04/2014
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Last Update Date | 08/21/2025
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Provider Practice Location Address
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Address Line | 301 W HUNTINGTON DR STE 107
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City | ARCADIA
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State | CA
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Zip | 91007-3400
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Country | US
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Telephone | 626-462-1140
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 31309
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City | LOS ANGELES
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State | CA
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Zip | 90031-0309
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Country | US
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Telephone | 323-442-5790
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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 | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number | 036.148202
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number | A138738
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License Number State | CA
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