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General NPI Number Information
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NPI Number | 1649069873
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Entity Type | Organization
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Legal Business Name | BORN ACUPUNCTURE
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Dates
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Enumeration Date | 05/05/2025
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Last Update Date | 07/23/2025
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Provider Practice Location Address
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Address Line | 7010 LITTLE RIVER TPKE STE 335
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City | ANNANDALE
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State | VA
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Zip | 22003-3249
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Country | US
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Telephone | 703-827-3488
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Fax | 571-526-5522
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Provider Business Mailing Address
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Address Line | 4116 APPLEBY WAY
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City | FAIRFAX
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State | VA
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Zip | 22030-6053
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Country | US
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Telephone | 703-827-3488
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Fax | 571-526-5522
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Authorized Official
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Title or Position | DIRECTOR
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Name | JIHUN KWAK
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Credential |
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Telephone | 703-827-3488
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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