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General NPI Number Information
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NPI Number | 1780799379
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Entity Type | Individual
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Provider Name | COLUMBA Y KIM MSW, L.C.S.W.
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Gender | Female
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Dates
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Enumeration Date | 08/21/2006
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Last Update Date | 03/18/2015
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Provider Practice Location Address
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Address Line | 1537 FRANKLIN ST. SUITE 306
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City | SAN FRANCISCO
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State | CA
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Zip | 94109-4581
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Country | US
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Telephone | 415-567-1678
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Fax | 415-386-4350
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Provider Business Mailing Address
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Address Line | 763 17TH AVE.
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City | SAN FRANCISCO
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State | CA
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Zip | 94121-3820
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Country | US
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Telephone | 415-567-1678
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Fax | 415-386-4350
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | LCS11978
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License Number State | CA
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