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General NPI Number Information
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NPI Number | 1518672153
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Entity Type | Organization
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Legal Business Name | NORTHERN VIRGINIA SLEEP SOLUTIONS PLLC
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Dates
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Enumeration Date | 01/18/2023
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Last Update Date | 09/11/2023
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Provider Practice Location Address
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Address Line | 1725 DUKE ST STE GR03
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City | ALEXANDRIA
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State | VA
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Zip | 22314-3456
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Country | US
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Telephone | 703-549-1725
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Fax |
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Provider Business Mailing Address
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Address Line | 1725 DUKE ST STE GR03
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City | ALEXANDRIA
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State | VA
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Zip | 22314-3456
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Country | US
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Telephone | 703-549-1725
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. HYE PARK
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Credential |
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Telephone | 301-395-8578
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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