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General NPI Number Information
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NPI Number | 1700741469
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Entity Type | Individual
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Provider Name | EDUARDO KIM PT, DPT
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Gender | Male
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Dates
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Enumeration Date | 12/16/2025
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Last Update Date | 12/16/2025
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Provider Practice Location Address
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Address Line | 24318 HEMLOCK AVE STE A1
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City | MORENO VALLEY
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State | CA
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Zip | 92557-7223
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Country | US
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Telephone | 951-485-3800
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Fax | 951-226-3684
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Provider Business Mailing Address
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Address Line | 3230 E IMPERIAL HWY STE 100
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City | BREA
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State | CA
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Zip | 92821-6735
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Country | US
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Telephone | 714-256-5074
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Fax | 714-256-0770
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 309292
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License Number State | CA
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