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General NPI Number Information
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NPI Number | 1881914216
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Entity Type | Individual
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Provider Name | PATRICIA KIM DPM
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Gender | Female
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Dates
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Enumeration Date | 06/08/2010
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Last Update Date | 08/13/2024
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Provider Practice Location Address
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Address Line | 4 COURTHOUSE LN
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City | CHELMSFORD
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State | MA
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Zip | 01824-1728
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Country | US
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Telephone | 978-441-9241
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Fax | 978-970-0248
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Provider Business Mailing Address
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Address Line | 4 COURTHOUSE LN STE 11
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City | CHELMSFORD
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State | MA
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Zip | 01824-1731
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Country | US
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Telephone | 978-441-9241
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Fax | 978-970-0248
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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 | 211D00000X
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Taxonomy Name | Podiatric Assistant
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License Number |
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | MA2395
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License Number State | MA
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