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General NPI Number Information
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NPI Number | 1255043691
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Entity Type | Individual
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Provider Name | CATHERINE KIM
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Gender | Female
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Dates
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Enumeration Date | 12/16/2022
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Last Update Date | 04/05/2023
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Provider Practice Location Address
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Address Line | 1355 BEVERLY RD STE 320
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City | MC LEAN
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State | VA
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Zip | 22101-3648
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Country | US
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Telephone | 703-975-9984
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Fax |
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Provider Business Mailing Address
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Address Line | 3709 YORKTOWN VILLAGE PASS
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City | ANNANDALE
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State | VA
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Zip | 22003-1565
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Country | US
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Telephone |
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 0906010739
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 0906011617
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License Number State | VA
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 0906011659
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License Number State | VA
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Taxonomy #4
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 1255043691
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License Number State | VA
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Taxonomy #5
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 0904015059
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License Number State | VA
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