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General NPI Number Information
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NPI Number | 1699748459
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Entity Type | Individual
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Provider Name | RICHARD H KIM DO
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Gender | Male
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Dates
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Enumeration Date | 02/10/2006
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Last Update Date | 01/06/2025
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Provider Practice Location Address
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Address Line | 3 SAINT FRANCIS DR STE 400
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City | GREENVILLE
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State | SC
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Zip | 29601-3973
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Country | US
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Telephone | 864-235-8396
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Fax | 864-271-4092
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Provider Business Mailing Address
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Address Line | 3 SAINT FRANCIS DR STE 400
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City | GREENVILLE
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State | SC
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Zip | 29601-3973
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Country | US
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Telephone | 864-235-8396
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Fax | 864-271-4092
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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 | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number | 05012300
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number | 82982
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License Number State | SC
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