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General NPI Number Information
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NPI Number | 1699627356
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Entity Type | Organization
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Legal Business Name | KALEIDOSCOPIC MINDS
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Dates
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Enumeration Date | 02/13/2026
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Last Update Date | 02/13/2026
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Provider Practice Location Address
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Address Line | 100 OLD PALISADE RD APT 3510
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City | FORT LEE
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State | NJ
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Zip | 07024-7027
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Country | US
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Telephone | 917-426-3587
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1225
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City | FORT LEE
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State | NJ
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Zip | 07024-1225
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Country | US
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Telephone | 917-426-3587
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | DR. HONG SEON KIM
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Credential | PH.D.
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Telephone | 917-426-3587
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State |
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