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General NPI Number Information
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NPI Number | 1285553099
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Entity Type | Individual
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Provider Name | EUNICE UNJIN KIM
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Gender | Female
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Dates
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Enumeration Date | 07/14/2026
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Last Update Date | 07/25/2026
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Provider Practice Location Address
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Address Line | 4660 KENMORE AVE
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City | ALEXANDRIA
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State | VA
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Zip | 22304-1313
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Country | US
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Telephone | 703-751-1008
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Fax |
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Provider Business Mailing Address
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Address Line | 5205 LEESBURG PIKE APT 1112
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City | FALLS CHURCH
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State | VA
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Zip | 22041-3819
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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 | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 0119011403
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License Number State | VA
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