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Mr. Haeche Kim

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NPI Number Detailed Information

Provider Information:

Name: Mr. Haeche Kim
Gender: M
Provider License Number If Given: 7916

NPI Information:

NPI: 1982698486
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 9/12/2005

Last Update Date: 7/30/2007

Provider Business Mailing Address:

Address: PO BOX 16068
High Point, NC 27261
Phone Number: 3368824615
Fax Number: 3368841643

Provider Business Practice Location Address:

Address: 1700 SKYLYN DR
Spartanburg, SC 29307
Phone Number: 8645733000
Fax Number:

Provider Taxonomy:

Primary: 174400000X
Secondary (if any):
State: SC

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