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General NPI Number Information
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NPI Number | 1215709175
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Entity Type | Individual
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Provider Name | HEEJIN YUN
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Gender | Female
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Dates
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Enumeration Date | 10/24/2023
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Last Update Date | 09/12/2025
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Provider Practice Location Address
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Address Line | 43804 TRACKSIDE TER
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City | ASHBURN
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State | VA
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Zip | 20147-7259
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Country | US
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Telephone | 773-658-2093
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Fax |
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Provider Business Mailing Address
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Address Line | 43804 TRACKSIDE TER APT 204
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City | ASHBURN
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State | VA
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Zip | 20147-7261
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Country | US
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Telephone | 773-658-2093
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 0701015363
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License Number State | VA
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