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General NPI Number Information
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NPI Number | 1841715133
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Entity Type | Organization
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Legal Business Name | BMH PT PC
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Dates
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Enumeration Date | 08/07/2017
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Last Update Date | 08/07/2017
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Provider Practice Location Address
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Address Line | 529 14TH ST NW STE 1206
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City | WASHINGTON
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State | DC
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Zip | 20045-2200
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Country | US
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Telephone | 202-999-9283
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Fax |
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Provider Business Mailing Address
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Address Line | 529 14TH ST NW STE 1206
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City | WASHINGTON
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State | DC
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Zip | 20045-2200
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | YOUNGJU HONG
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Credential | DPT
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Telephone | 202-999-9283
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT871872
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License Number State | DC
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