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General NPI Number Information
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NPI Number | 1750886610
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Entity Type | Individual
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Provider Name | KIM MINH DANG DO
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Gender | Female
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Dates
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Enumeration Date | 03/23/2018
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Last Update Date | 04/14/2025
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Provider Practice Location Address
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Address Line | 1200 BROOKLYN AVE STE 320
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City | SAN ANTONIO
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State | TX
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Zip | 78212
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Country | US
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Telephone | 210-233-7000
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Fax |
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Provider Business Mailing Address
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Address Line | 25618 CORONADO BLF
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City | SAN ANTONIO
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State | TX
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Zip | 78260-6043
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Country | US
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Telephone | 210-383-8918
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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 | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number | U5676
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License Number State | TX
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