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General NPI Number Information
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NPI Number | 1902224587
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Entity Type | Individual
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Provider Name | SAMUEL M KIM
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Gender | Male
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Dates
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Enumeration Date | 04/01/2014
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Last Update Date | 08/13/2020
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Provider Practice Location Address
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Address Line | WEILL CORNELL MEDICINE DIVISION OF CARDIOLOGY 520 EAST 70TH STREET, STARR PAVILION 4TH FLOOR
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City | NEW YORK
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State | NY
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Zip | 10021-0010
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Country | US
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Telephone | 646-962-5558
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Fax | 646-962-0050
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Provider Business Mailing Address
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Address Line | WEILL CORNELL MEDICINE DIVISION OF CARDIOLOGY 1305 YORK AVENUE 8TH FLOOR
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City | NEW YORK
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State | NY
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Zip | 10021-5663
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Country | US
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Telephone | 646-962-5558
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Fax | 646-962-0050
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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 | 207UN0901X
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Taxonomy Name | Nuclear Cardiology Physician
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License Number | 288447
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 288447
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License Number State | NY
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