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General NPI Number Information
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NPI Number | 1730175431
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Entity Type | Individual
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Provider Name | DARYL K KIM MD
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Gender | Male
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Dates
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Enumeration Date | 09/27/2005
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Last Update Date | 10/20/2011
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Provider Practice Location Address
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Address Line | 5 EISENHOWER RD
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City | COLUMBIA
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State | NJ
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Zip | 07832-2716
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Country | US
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Telephone | 908-362-5360
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Fax | 973-362-8396
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Provider Business Mailing Address
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Address Line | 532 LAFAYETTE RD SUITE 300
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City | SPARTA
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State | NJ
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Zip | 07871-4411
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Country | US
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Telephone | 973-940-0423
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Fax | 973-940-0399
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 25MA06606900
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 25MA06606900
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License Number State | NJ
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