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General NPI Number Information
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NPI Number | 1952951147
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Entity Type | Individual
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Provider Name | HAE-JOON KIM PHD
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Gender | Female
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Dates
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Enumeration Date | 09/19/2019
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Last Update Date | 01/31/2026
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Provider Practice Location Address
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Address Line | 208 WASHINGTON PARK APT 1B
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City | BROOKLYN
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State | NY
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Zip | 11205-4023
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Country | US
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Telephone | 646-494-8048
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Fax |
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Provider Business Mailing Address
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Address Line | 440 43RD ST APT 2
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City | BROOKLYN
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State | NY
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Zip | 11232-3624
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 026885
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License Number State | NY
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