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General NPI Number Information
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NPI Number | 1760995278
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Entity Type | Individual
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Provider Name | YUNHO KIM OD
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Gender | Male
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Dates
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Enumeration Date | 11/07/2017
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Last Update Date | 11/07/2017
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Provider Practice Location Address
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Address Line | 3904 HILLSBORO PIKE # C
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City | NASHVILLE
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State | TN
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Zip | 37215-2740
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Country | US
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Telephone | 615-292-2040
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Fax |
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Provider Business Mailing Address
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Address Line | 201 GRIZZARD AVE LOT M4
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City | NASHVILLE
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State | TN
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Zip | 37207-4422
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Country | US
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Telephone | 623-698-3231
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 3426
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License Number State | TN
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