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General NPI Number Information
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NPI Number | 1942715925
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Entity Type | Organization
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Legal Business Name | HONE SOO KAW MD INC
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Dates
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Enumeration Date | 12/12/2017
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Last Update Date | 03/12/2018
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Provider Practice Location Address
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Address Line | 500 N GARFIELD AVE STE 306
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City | MONTEREY PARK
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State | CA
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Zip | 91754-1242
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Country | US
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Telephone | 626-262-2768
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Fax |
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Provider Business Mailing Address
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Address Line | 500 N GARFIELD AVE STE 306
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City | MONTEREY PARK
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State | CA
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Zip | 91754-1242
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Country | US
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Telephone | 626-262-2768
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | HONE SOO KAW
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Credential | M.D.
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Telephone | 626-262-2768
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number | A126514
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License Number State | CA
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