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General NPI Number Information
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NPI Number | 1689717274
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Entity Type | Individual
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Provider Name | IN SUN KIM L.AC.
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Gender | Female
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Dates
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Enumeration Date | 02/14/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 2656 EL CAMINO REAL
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City | SANTA CLARA
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State | CA
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Zip | 95051-3041
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Country | US
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Telephone | 408-417-6878
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Fax | 408-260-1885
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Provider Business Mailing Address
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Address Line | 43765 ABELOE TER
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City | FREMONT
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State | CA
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Zip | 94539-6229
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Country | US
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Telephone | 510-938-1376
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Fax | 408-260-1885
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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 | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | AC9984
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License Number State | CA
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