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General NPI Number Information
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NPI Number | 1720920903
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Entity Type | Individual
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Provider Name | KI HYUN KANG RN
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Gender | Female
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Dates
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Enumeration Date | 04/07/2026
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Last Update Date | 04/07/2026
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Provider Practice Location Address
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Address Line | 19801C 67TH AVE APT 1C
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City | FRESH MEADOWS
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State | NY
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Zip | 11365-4281
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Country | US
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Telephone | 646-660-3466
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Fax |
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Provider Business Mailing Address
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Address Line | 19801C 67TH AVE APT 1C
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City | FRESH MEADOWS
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State | NY
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Zip | 11365-4281
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Country | US
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Telephone | 646-660-3466
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Fax |
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 633369
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License Number State | NY
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