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General NPI Number Information
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NPI Number | 1659197770
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Entity Type | Individual
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Provider Name | DIANA H JOO DDS
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Gender | Female
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Dates
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Enumeration Date | 11/25/2024
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Last Update Date | 08/11/2025
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Provider Practice Location Address
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Address Line | 5500 COLUMBIA PIKE STE B
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City | ARLINGTON
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State | VA
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Zip | 22204-5867
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Country | US
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Telephone | 703-575-9899
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Fax |
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Provider Business Mailing Address
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Address Line | 8304 GREENTREE MANOR LN
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City | FAIRFAX STATION
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State | VA
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Zip | 22039-3214
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Country | US
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Telephone | 703-309-7116
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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 | 1223P0700X
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Taxonomy Name | Prosthodontics
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License Number | 0401419374
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 1223P0700X
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Taxonomy Name | Prosthodontics
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License Number | DS044989
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License Number State | PA
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