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General NPI Number Information
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NPI Number | 1750458295
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Entity Type | Organization
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Legal Business Name | STEVEN HAN DC PC
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Dates
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Enumeration Date | 11/29/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 14130 NOBLEWOOD PLZ SUITE #201
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City | WOODBRIDGE
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State | VA
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Zip | 22193-1443
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Country | US
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Telephone | 202-386-4736
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Fax |
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Provider Business Mailing Address
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Address Line | 8732 WILD PRAIRIE ROSE WAY
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City | LORTON
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State | VA
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Zip | 22079-5621
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Country | US
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Telephone | 202-386-4736
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | DR. STEVEN HAN
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Credential | D.C.
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Telephone | 202-386-4736
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 0104555957
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License Number State | VA
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