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General NPI Number Information
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NPI Number | 1841089950
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Entity Type | Organization
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Legal Business Name | CARRIE KIM IBCLC
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Dates
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Enumeration Date | 05/05/2025
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Last Update Date | 05/05/2025
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Provider Practice Location Address
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Address Line | 2000 VALLEJO WAY
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City | SACRAMENTO
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State | CA
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Zip | 95818-3847
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Country | US
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Telephone | 209-559-8681
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Fax |
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Provider Business Mailing Address
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Address Line | 166 GEARY ST. STE 1500 #2793
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City | SAN FRANCISCO
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State | CA
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Zip | 94108
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | CARRIE KIM
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Credential | IBCLC
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Telephone | 209-559-8681
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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