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General NPI Number Information
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NPI Number | 1083751846
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Entity Type | Individual
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Provider Name | JONATHAN C JUN M.D.
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Gender | Male
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Dates
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Enumeration Date | 01/31/2007
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Last Update Date | 09/05/2025
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Provider Practice Location Address
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Address Line | 5501 HOPKINS BAYVIEW CIR FL 2
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City | BALTIMORE
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State | MD
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Zip | 21224-6821
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Country | US
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Telephone | 443-287-3313
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Fax | 410-367-2710
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Provider Business Mailing Address
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Address Line | 6201 GREENLEIGH AVE
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City | MIDDLE RIVER
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State | MD
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Zip | 21220-2004
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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 | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | MD049196
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License Number State | DC
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Taxonomy #2
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | 205356
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License Number State | MD
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Taxonomy #3
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | D66156
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License Number State | MD
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