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General NPI Number Information
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NPI Number | 1477819779
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Entity Type | Organization
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Legal Business Name | KOREAN COMMUNITY SERVICE CENTER OF GREATER WASHINGTON, INC.
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Dates
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Enumeration Date | 04/11/2012
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Last Update Date | 04/11/2012
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Provider Practice Location Address
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Address Line | 7700 LITTLE RIVER TPKE STE 406
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City | ANNANDALE
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State | VA
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Zip | 22003-2406
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Country | US
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Telephone | 703-354-6345
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Fax | 703-354-6391
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Provider Business Mailing Address
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Address Line | 7700 LITTLE RIVER TPKE STE 406
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City | ANNANDALE
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State | VA
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Zip | 22003-2406
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Country | US
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Telephone | 703-354-6345
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Fax | 703-354-6391
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | JI-YOUNG CHO
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Credential |
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Telephone | 703-354-9345
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251V00000X
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Taxonomy Name | Voluntary or Charitable Agency
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License Number |
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License Number State |
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