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General NPI Number Information
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NPI Number | 1760423354
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Entity Type | Individual
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Provider Name | DUK HWAN KIM M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/08/2006
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Last Update Date | 04/11/2017
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Provider Practice Location Address
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Address Line | 8622 MASTERS DR
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City | HUNTINGTON BEACH
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State | CA
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Zip | 92646-4524
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Country | US
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Telephone | 714-855-4989
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Fax | 714-418-5789
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Provider Business Mailing Address
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Address Line | 8622 MASTERS DR
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City | HUNTINGTON BEACH
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State | CA
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Zip | 92646-4524
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Country | US
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Telephone | 714-855-4989
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Fax | 714-418-5789
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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 | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | A78546
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License Number State | CA
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