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General NPI Number Information
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NPI Number | 1780870212
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Entity Type | Individual
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Provider Name | SAHRIP KIM D.D.S.
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Gender | Female
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Dates
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Enumeration Date | 09/18/2007
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Last Update Date | 12/16/2019
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Provider Practice Location Address
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Address Line | 535 IRON BRIDGE RD STE 9
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City | FREEHOLD
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State | NJ
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Zip | 07728-5301
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Country | US
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Telephone | 732-303-6900
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Fax | 732-303-6922
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Provider Business Mailing Address
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Address Line | 8 LERNARD RD
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City | MANALAPAN
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State | NJ
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Zip | 07726-7912
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Country | US
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Telephone | 732-303-6900
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Fax | 732-303-6922
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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 | 1223E0200X
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Taxonomy Name | Endodontics
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License Number | 22DI02332300
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License Number State | NJ
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