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General NPI Number Information
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NPI Number | 1962798785
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Entity Type | Individual
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Provider Name | HYUNA KIM D.M.D
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Gender | Female
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Dates
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Enumeration Date | 06/20/2011
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Last Update Date | 04/23/2014
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Provider Practice Location Address
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Address Line | 2747 E ATLANTIC BLVD
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City | POMPANO BEACH
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State | FL
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Zip | 33062-4941
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Country | US
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Telephone | 954-781-4670
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Fax |
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Provider Business Mailing Address
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Address Line | 1800 S OCEAN DR APT 1909
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City | HALLANDALE BEACH
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State | FL
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Zip | 33009-7725
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Country | US
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Telephone | 352-246-3772
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 019028671
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | DS038733
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | DN19680
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License Number State | FL
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