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Contact Information

DOD
9501 FARRELL RD
FORT BELVOIR, VA22060-5901
 Phone: 703-805-0067
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Obstetric, Inpatient

163WX0003X
Indicates primary specialty

NPI Profile & details for DOD

NPI # 1265595482
LBN Legal business name DOD
Authorized official KYUNG PARK - (CLINICAL NURSE)
Entity Organization
Organization subpart 1 No
Enumeration date 12/19/2006
Last updated 08/22/2020 - About 6 years ago
Identifiers
VA License # 0001109410
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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