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General NPI Number Information
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NPI Number | 1831719707
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Entity Type | Organization
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Legal Business Name | MAN S. KIM PHYSICAL THERAPY P.C.
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Dates
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Enumeration Date | 04/21/2020
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Last Update Date | 03/23/2023
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Provider Practice Location Address
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Address Line | 16 W 32ND ST STE 1007
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City | NEW YORK
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State | NY
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Zip | 10001-3852
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Country | US
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Telephone | 718-791-5951
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Fax |
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Provider Business Mailing Address
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Address Line | 186 TENNEY AVE
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City | RIVER EDGE
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State | NJ
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Zip | 07661-2234
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Country | US
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Telephone | 718-791-5951
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. MANSOO KIM
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Credential |
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Telephone | 718-791-5951
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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