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General NPI Number Information
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NPI Number | 1023931466
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Entity Type | Individual
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Provider Name | BYUNG KOOK JUNG DNP
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Gender | Male
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Dates
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Enumeration Date | 08/03/2026
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Last Update Date | 08/03/2026
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Provider Practice Location Address
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Address Line | 18511 HIGHLANDER MEDICS ST WBAMC FT BLISS
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City | APO
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State | AA
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Zip | 79918
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Country | US
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Telephone | 404-547-3056
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Fax |
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Provider Business Mailing Address
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Address Line | 13292 COLDHAM ST
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City | HORIZON CITY
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State | TX
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Zip | 79928-7565
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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 |
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 1186583
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License Number State | TX
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