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General NPI Number Information
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NPI Number | 1275468795
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Entity Type | Individual
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Provider Name | JUDITH JUNE KO
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Gender | Female
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Dates
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Enumeration Date | 06/16/2026
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Last Update Date | 06/16/2026
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Provider Practice Location Address
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Address Line | 3700 RESERVOIR RD NW # 509
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City | WASHINGTON
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State | DC
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Zip | 20007-2111
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Country | US
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Telephone | 202-322-5132
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Fax |
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Provider Business Mailing Address
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Address Line | 1800 N OAK ST APT 509
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City | ARLINGTON
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State | VA
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Zip | 22209-2608
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Country | US
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Telephone | 202-322-5132
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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 | 163WC0200X
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Taxonomy Name | Critical Care Medicine Registered Nurse
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License Number | 1029152
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License Number State | TX
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