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General NPI Number Information
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NPI Number | 1205165297
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Entity Type | Individual
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Provider Name | EUN-HEE SARAH KANG D.O
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Gender | Female
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Dates
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Enumeration Date | 12/22/2009
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Last Update Date | 12/04/2025
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Provider Practice Location Address
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Address Line | 7051 ROCKLEDGE DR
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City | BETHESDA
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State | MD
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Zip | 20817-1680
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Country | US
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Telephone | 301-272-9830
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Fax | 301-272-9840
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Provider Business Mailing Address
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Address Line | 5730 EXECUTIVE DR STE 230
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City | CATONSVILLE
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State | MD
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Zip | 21228-1762
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Country | US
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Telephone | 301-272-9830
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Fax | 301-272-9840
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 0102203597
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | OT012193
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License Number State | PA
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