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General NPI Number Information
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NPI Number | 1932594751
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Entity Type | Individual
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Provider Name | ELIZABETH MEGAS KIM M.D.
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Gender | Female
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Dates
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Enumeration Date | 03/30/2015
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Last Update Date | 01/07/2020
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Provider Practice Location Address
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Address Line | 729 RUGBY RD
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City | BRYN MAWR
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State | PA
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Zip | 19010-3832
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Country | US
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Telephone | 703-615-2580
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Fax |
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Provider Business Mailing Address
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Address Line | 1215 LEE ST DEPT OF ANESTHESIA
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City | CHARLOTTESVILLE
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State | VA
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Zip | 22908-0816
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Country | US
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Telephone | 434-924-0211
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Fax |
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | MD467970
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License Number State | PA
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