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General NPI Number Information
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NPI Number | 1861832149
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Entity Type | Organization
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Legal Business Name | KYOUNG MIN HAN,DPM PC INC.,
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Dates
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Enumeration Date | 07/01/2013
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Last Update Date | 07/29/2013
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Provider Practice Location Address
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Address Line | 12820 STUDEBAKER RD SUITE 200
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City | NORWALK
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State | CA
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Zip | 90650-2578
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Country | US
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Telephone | 562-868-0787
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Fax | 562-375-6188
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Provider Business Mailing Address
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Address Line | PO BOX 1292
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City | NORWALK
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State | CA
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Zip | 90651-1292
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Country | US
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Telephone | 562-868-0787
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Fax | 562-375-6188
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Authorized Official
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Title or Position | C.E.O.
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Name | KYOUNG MIN HAN
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Credential | D.P.M.,
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Telephone | 562-868-0787
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | E5043
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License Number State | CA
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