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General NPI Number Information
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NPI Number | 1881813301
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Entity Type | Organization
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Legal Business Name | STEVEN E KIM M D P A
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Dates
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Enumeration Date | 04/24/2007
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Last Update Date | 10/10/2007
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Provider Practice Location Address
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Address Line | D5 BRIER HILL CT
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City | EAST BRUNSWICK
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State | NJ
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Zip | 08816-3335
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Country | US
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Telephone | 732-432-7400
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Fax | 732-432-7401
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Provider Business Mailing Address
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Address Line | D5 BRIER HILL CT
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City | EAST BRUNSWICK
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State | NJ
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Zip | 08816-3335
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Country | US
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Telephone | 732-432-7400
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Fax | 732-432-7401
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Authorized Official
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Title or Position | OWNER
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Name | STEVEN E KIM
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Credential | MD
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Telephone | 732-432-7400
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number | MA58125
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License Number State | NJ
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