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General NPI Number Information
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NPI Number | 1942940796
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Entity Type | Individual
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Provider Name | EUGENE D KIM OTR/L
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Gender | Male
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Dates
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Enumeration Date | 03/30/2022
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Last Update Date | 01/08/2026
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Provider Practice Location Address
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Address Line | 3014 CRESCENT ST FL 3
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City | ASTORIA
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State | NY
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Zip | 11102-3249
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Country | US
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Telephone | 718-808-7370
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Fax |
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Provider Business Mailing Address
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Address Line | 3014 CRESCENT ST FL 3
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City | ASTORIA
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State | NY
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Zip | 11102-3249
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Country | US
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Telephone | 718-808-7370
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Fax | 718-808-7393
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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 | 225XH1200X
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Taxonomy Name | Hand Occupational Therapist
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License Number | 026621
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License Number State | NY
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