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General NPI Number Information
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NPI Number | 1811382898
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Entity Type | Individual
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Provider Name | ASHLEY SOOYUN KIM MD
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Gender | Female
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Dates
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Enumeration Date | 04/06/2015
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Last Update Date | 10/25/2024
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Provider Practice Location Address
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Address Line | 4900 W SUNSET BLVD
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City | LOS ANGELES
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State | CA
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Zip | 90027-5814
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Country | US
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Telephone | 323-783-2254
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Fax |
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Provider Business Mailing Address
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Address Line | 4900 W SUNSET BLVD
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City | LOS ANGELES
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State | CA
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Zip | 90027-5814
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Country | US
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Telephone | 323-783-2254
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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 | 207VE0102X
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Taxonomy Name | Reproductive Endocrinology Physician
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License Number | 38350
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License Number State | OK
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Taxonomy #2
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Taxonomy Code | 207VE0102X
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Taxonomy Name | Reproductive Endocrinology Physician
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License Number | A159564
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License Number State | CA
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