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General NPI Number Information
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NPI Number | 1992924732
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Entity Type | Individual
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Provider Name | DOU HWAN KIM PHARM.D.
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Gender | Male
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Dates
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Enumeration Date | 04/24/2007
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Last Update Date | 12/31/2024
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Provider Practice Location Address
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Address Line | PO BOX 478
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City | MENDHAM
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State | NJ
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Zip | 07945-0478
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Country | US
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Telephone | 973-543-2525
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Fax | 973-543-2396
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Provider Business Mailing Address
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Address Line | 45 S PARK PL STE 305
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City | MORRISTOWN
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State | NJ
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Zip | 07960-3924
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 28RI03081700
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License Number State | NJ
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