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General NPI Number Information
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NPI Number | 1194116996
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Entity Type | Individual
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Provider Name | YOUNGJU HONG DPT
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Gender | Female
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Dates
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Enumeration Date | 02/15/2015
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Last Update Date | 06/06/2022
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Provider Practice Location Address
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Address Line | 4495 CHESHIRE STATION PLZ
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City | WOODBRIDGE
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State | VA
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Zip | 22193-2226
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Country | US
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Telephone | 571-659-2540
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Fax | 571-659-2800
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Provider Business Mailing Address
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Address Line | 10424 STEEPLECHASE RUN LN
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City | MANASSAS
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State | VA
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Zip | 20110-6928
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Country | US
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Telephone | 571-659-2540
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Fax | 571-659-2800
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT871872
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License Number State | DC
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 2305208606
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License Number State | VA
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