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General NPI Number Information
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NPI Number | 1871028894
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Entity Type | Individual
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Provider Name | DANNY NIEVES-KIM MD MPH
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Gender | Male
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Dates
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Enumeration Date | 04/27/2017
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Last Update Date | 10/16/2025
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Provider Practice Location Address
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Address Line | 494 DUMONT AVE
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City | BROOKLYN
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State | NY
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Zip | 11207-5017
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Country | US
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Telephone | 718-345-1178
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Fax |
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Provider Business Mailing Address
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Address Line | 49 5TH AVE # 1173
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City | BROOKLYN
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State | NY
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Zip | 11217-2043
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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 |
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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 | 207QA0401X
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Taxonomy Name | Addiction Medicine (Family Medicine) Physician
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License Number | A157693
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207QA0401X
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Taxonomy Name | Addiction Medicine (Family Medicine) Physician
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License Number | 322809
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License Number State | NY
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