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General NPI Number Information
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NPI Number | 1871578252
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Entity Type | Individual
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Provider Name | STANLEY HYOCHON KIM MD
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Gender | Male
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Dates
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Enumeration Date | 12/08/2005
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Last Update Date | 07/16/2025
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Provider Practice Location Address
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Address Line | 8333 CROSS PARK DR
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City | AUSTIN
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State | TX
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Zip | 78754-5154
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Country | US
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Telephone | 512-494-6024
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Fax | 866-563-6244
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Provider Business Mailing Address
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Address Line | 8333 CROSS PARK DR
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City | AUSTIN
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State | TX
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Zip | 78754-5154
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Country | US
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Telephone | 512-494-6024
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Fax | 866-563-6244
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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 | 2085R0204X
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Taxonomy Name | Vascular & Interventional Radiology Physician
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License Number | L6472
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 207T00000X
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Taxonomy Name | Neurological Surgery Physician
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License Number | CDR.0005403
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License Number State | CO
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Taxonomy #3
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Taxonomy Code | 207T00000X
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Taxonomy Name | Neurological Surgery Physician
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License Number | L6472
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License Number State | TX
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