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General NPI Number Information
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NPI Number | 1760181754
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Entity Type | Individual
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Provider Name | ANDREW HYUN KIM DPT
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Gender | Male
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Dates
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Enumeration Date | 02/28/2023
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Last Update Date | 01/16/2025
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Provider Practice Location Address
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Address Line | 1995 N PARK PL SE STE 410
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City | ATLANTA
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State | GA
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Zip | 30339-2072
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Country | US
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Telephone | 832-653-0956
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Fax |
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Provider Business Mailing Address
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Address Line | 1995 N PARK PL SE STE 410
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City | ATLANTA
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State | GA
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Zip | 30339-2072
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Country | US
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Telephone | 770-850-0390
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 1374658
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT016696
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License Number State | GA
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