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General NPI Number Information
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NPI Number | 1700135480
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Entity Type | Individual
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Provider Name | KYOUNG HWAN KIM L. AC
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Gender | Male
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Dates
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Enumeration Date | 09/10/2012
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Last Update Date | 04/22/2020
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Provider Practice Location Address
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Address Line | 7901 GREENTREE RD
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City | BETHESDA
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State | MD
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Zip | 20817-1301
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Country | US
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Telephone | 410-294-9499
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Fax | 410-497-1113
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Provider Business Mailing Address
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Address Line | 7901 GREENTREE RD
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City | BETHESDA
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State | MD
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Zip | 20817-1301
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Country | US
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Telephone | 410-294-9499
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Fax | 410-497-1113
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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 | 0121000521
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | U01518
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License Number State | MD
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