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General NPI Number Information
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NPI Number | 1659487098
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Entity Type | Organization
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Legal Business Name | MERRIFIELD OB/GYN. P.C.
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Dates
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Enumeration Date | 08/21/2006
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Last Update Date | 07/29/2014
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Provider Practice Location Address
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Address Line | 2826 OLD LEE HWY SUITE 306
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City | FAIRFAX
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State | VA
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Zip | 22031-4346
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Country | US
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Telephone | 703-204-0555
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Fax | 703-204-0544
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Provider Business Mailing Address
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Address Line | 2826 OLD LEE HWY SUITE 306
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City | FAIRFAX
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State | VA
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Zip | 22031-4323
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Country | US
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Telephone | 703-204-0555
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Fax | 703-204-0544
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. HYUNKI SHIN
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Credential | MD
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Telephone | 703-204-0555
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 0101056854
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License Number State | VA
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