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General NPI Number Information
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NPI Number | 1881079135
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Entity Type | Individual
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Provider Name | SUSAN KIM-YEUNG
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Gender | Female
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Dates
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Enumeration Date | 07/28/2015
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Last Update Date | 08/04/2025
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Provider Practice Location Address
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Address Line | 8430 HOLCOMB BRIDGE RD
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City | ALPHARETTA
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State | GA
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Zip | 30022
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Country | US
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Telephone | 770-640-6576
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Fax |
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Provider Business Mailing Address
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Address Line | 3990 HOWELL PARK RD
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City | DULUTH
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State | GA
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Zip | 30096-1729
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | NJDCATEMP-010358
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 35862
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License Number State | SC
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Taxonomy #3
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | I068575
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License Number State | NY
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Taxonomy #4
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | RPH028311
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License Number State | GA
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