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General NPI Number Information
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NPI Number | 1164364238
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Entity Type | Individual
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Provider Name | BUM JUN KIM PHARMACIST
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Gender | Male
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Dates
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Enumeration Date | 04/08/2026
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Last Update Date | 04/08/2026
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Provider Practice Location Address
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Address Line | 1701 N GEORGE MASON DR
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City | ARLINGTON
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State | VA
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Zip | 22205-3698
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Country | US
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Telephone | 703-558-6219
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Fax |
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Provider Business Mailing Address
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Address Line | 2409 CLOVER FIELD CIR
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City | HERNDON
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State | VA
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Zip | 20171-4312
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Country | US
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Telephone | 703-851-2007
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Fax | 703-851-2007
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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 | 1835C0207X
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Taxonomy Name | Compounded Sterile Preparations Pharmacist
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License Number | 0202208308
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License Number State | VA
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