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1285799320
SEONAE PAK
RESTON, VA
NPI
1285799320
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: VA 0101043750)
Enumeration Date
2006-12-27
Last Update Date
2011-11-21
Business Address
Dr. SEONAE PAK MD
11445 SUNSET HILLS ROAD
RESTON, VA 20190-5276
Phone number: 703-709-1500
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Mailing Address
Dr. SEONAE PAK MD
2101 EAST JEFFERSON STREET PPQA MEDICARE COMPLIANCE UNIT 6 WEST
ROCKVILLE, MD 20852-4908
Phone number: 301-816-6660
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