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General NPI Number Information
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NPI Number | 1932277373
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Entity Type | Individual
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Provider Name | HYUNG JOON KIM DDS
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Gender | Male
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Dates
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Enumeration Date | 12/02/2006
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Last Update Date | 12/02/2024
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Provider Practice Location Address
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Address Line | 516 N ROLLING RD STE 201
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City | CATONSVILLE
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State | MD
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Zip | 21228-4187
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Country | US
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Telephone | 410-788-3434
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Fax | 410-788-3493
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Provider Business Mailing Address
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Address Line | 1421 S CATON AVE SUITE 103
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City | BALTIMORE
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State | MD
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Zip | 21227-1025
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Country | US
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Telephone | 410-525-0100
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Fax | 410-525-3524
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 12953
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License Number State | MD
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