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General NPI Number Information
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NPI Number | 1063230662
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Entity Type | Individual
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Provider Name | SUNGJEA KANG NURSE PRACTITIONER
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Gender | Male
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Dates
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Enumeration Date | 10/01/2024
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Last Update Date | 03/18/2025
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Provider Practice Location Address
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Address Line | 7765 LEEDS ST
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City | DOWNEY
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State | CA
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Zip | 90242-3489
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Country | US
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Telephone | 562-674-1714
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Fax |
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Provider Business Mailing Address
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Address Line | 16405 GREENLAKE LN
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City | CERRITOS
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State | CA
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Zip | 90703-2065
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Country | US
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Telephone | 562-922-9275
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 95032050
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License Number State | CA
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