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General NPI Number Information
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NPI Number | 1750073540
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Entity Type | Individual
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Provider Name | KYURIM KIM
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Gender | Female
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Dates
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Enumeration Date | 05/22/2023
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Last Update Date | 07/28/2025
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Provider Practice Location Address
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Address Line | 2222 AIRLINE RD STE A4
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City | CORPUS CHRISTI
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State | TX
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Zip | 78414-2644
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Country | US
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Telephone | 361-256-5958
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Fax |
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Provider Business Mailing Address
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Address Line | 5633 TIMBERGATE DR APT 3002
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City | CORPUS CHRISTI
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State | TX
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Zip | 78414-3239
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Country | US
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Telephone | 512-297-5072
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 41812
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License Number State | TX
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