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General NPI Number Information
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NPI Number | 1952515322
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Entity Type | Individual
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Provider Name | LIZA SUNMIN KIM M.D.
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Gender | Female
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Dates
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Enumeration Date | 05/09/2007
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Last Update Date | 11/02/2023
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Provider Practice Location Address
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Address Line | 87 SCRIPPS DR STE 310
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City | SACRAMENTO
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State | CA
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Zip | 95825-6318
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Country | US
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Telephone | 916-705-2798
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Fax | 916-273-5646
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Provider Business Mailing Address
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Address Line | 11230 GOLD EXPRESS DR # 310-169
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City | GOLD RIVER
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State | CA
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Zip | 95670-4484
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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 |
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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 | 208200000X
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Taxonomy Name | Plastic Surgery Physician
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License Number | A116202
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License Number State | CA
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