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General NPI Number Information
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NPI Number | 1881649424
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Entity Type | Individual
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Provider Name | KIHO MIN MD
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Gender | Male
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Dates
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Enumeration Date | 05/23/2006
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Last Update Date | 12/20/2012
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Provider Practice Location Address
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Address Line | 8408 ARLINGTON BLVD SUITE 100
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City | FAIRFAX
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State | VA
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Zip | 22031-4608
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Country | US
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Telephone | 703-462-8711
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Fax | 703-462-8719
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Provider Business Mailing Address
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Address Line | 8408 ARLINGTON BLVD SUITE 100
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City | FAIRFAX
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State | VA
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Zip | 22031-4608
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Country | US
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Telephone | 703-462-8711
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Fax | 703-462-8719
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 0101050013
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 0101050013
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License Number State | VA
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Taxonomy #3
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 0101050013
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License Number State | VA
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