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1851619068 NPI number — LINDA WEA KIM M.D.

NPI Number: 1851619068
Health Care Provider/Practitioner: LINDA WEA KIM M.D.

Information about “1851619068” NPI (LINDA WEA KIM M.D.) exists in 1851619068 in HTML format HTML  |  1851619068 in plain Text format TXT  |  1851619068 in PDF (Portable Document Format) PDF  |  1851619068 in an XML format XML  formats.

NPI Number : 1851619068 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1851619068",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "KIM",
    "FirstName": "LINDA",
    "MiddleName": "WEA",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "M.D.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "37-30 73RD STREET",
    "SecondLineMailingAddress": "PQ",
    "MailingAddressCityName": "JACKSON HEIGHTS",
    "MailingAddressStateName": "NY",
    "MailingAddressPostalCode": "11372-6249",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "718-803-9888",
    "MailingAddressFaxNumber": "718-803-9833",
    "FirstLinePracticeLocationAddress": "37-30 73RD STREET",
    "SecondLinePracticeLocationAddress": "PQ",
    "PracticeLocationAddressCityName": "JACKSON HEIGHTS",
    "PracticeLocationAddressStateName": "NY",
    "PracticeLocationAddressPostalCode": "11372-6249",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "718-803-9888",
    "PracticeLocationAddressFaxNumber": "718-803-9833",
    "EnumerationDate": "05/12/2010",
    "LastUpdateDate": "05/12/2010",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "207L00000X",
        "TaxonomyName": "Anesthesiology Physician",
        "LicenseNumber": "128328",
        "LicenseNumberStateCode": "NY",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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