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General NPI Number Information
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NPI Number | 1871903732
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Entity Type | Individual
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Provider Name | MS. HEE KIM
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Gender | Female
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Dates
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Enumeration Date | 04/30/2014
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Last Update Date | 04/30/2014
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Provider Practice Location Address
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Address Line | 1703 HAGGERTY HWY
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City | COMMERCE TWP
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State | MI
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Zip | 48390-2833
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Country | US
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Telephone | 248-960-7171
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Fax | 248-926-3165
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Provider Business Mailing Address
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Address Line | 31094 SUDBURY ST
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City | FARMINGTON HILLS
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State | MI
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Zip | 48331-1364
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Country | US
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Telephone | 248-420-8380
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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 | 1835P1200X
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Taxonomy Name | Pharmacotherapy Pharmacist
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License Number | 5302030971
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License Number State | MI
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