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General NPI Number Information
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NPI Number | 1295470136
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Entity Type | Individual
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Provider Name | JUNG HAN
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Gender | Female
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Dates
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Enumeration Date | 05/04/2022
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Last Update Date | 05/04/2022
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Provider Practice Location Address
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Address Line | 3211 PAUL DR
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City | SILVER SPRING
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State | MD
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Zip | 20902-2460
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Country | US
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Telephone | 301-880-4777
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Fax |
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Provider Business Mailing Address
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Address Line | 5904 TANGLEWOOD DR
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City | BETHESDA
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State | MD
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Zip | 20817-6046
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Country | US
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Telephone | 301-655-0002
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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 | 3747P1801X
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Taxonomy Name | Personal Care Attendant
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License Number | R4956
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License Number State | MD
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