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General NPI Number Information
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NPI Number | 1255364105
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Entity Type | Individual
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Provider Name | CHRISTOPHER J KO M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/07/2006
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Last Update Date | 09/08/2023
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Provider Practice Location Address
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Address Line | 8133 LEESBURG PIKE SUITE 510
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City | VIENNA
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State | VA
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Zip | 22182-2751
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Country | US
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Telephone | 703-291-0021
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Fax |
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Provider Business Mailing Address
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Address Line | 2005 CROFTON PL
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City | FALLS CHURCH
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State | VA
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Zip | 22043-1543
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Country | US
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Telephone | 703-448-0842
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Fax | 703-448-0842
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 25MA08039300
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | D0071763
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License Number State | MD
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Taxonomy #3
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 0101256632
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License Number State | VA
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Taxonomy #4
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 0101256632
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License Number State | VA
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