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General NPI Number Information
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NPI Number | 1932028644
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Entity Type | Organization
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Legal Business Name | KOL HEALTH PLLC
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Dates
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Enumeration Date | 07/15/2026
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Last Update Date | 07/15/2026
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Provider Practice Location Address
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Address Line | 3779 S COOPER ST
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City | ARLINGTON
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State | TX
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Zip | 76015-3414
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Country | US
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Telephone | 310-926-9633
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Fax |
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Provider Business Mailing Address
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Address Line | 7208 MARQUIS LN
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City | IRVING
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State | TX
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Zip | 75063-3578
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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 | MANAGER
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Name | YEIN KIM
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Credential | DMD
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Telephone | 310-926-9633
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number |
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License Number State |
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