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General NPI Number Information
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NPI Number | 1083897334
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Entity Type | Individual
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Provider Name | DR. DAVID SUVIE UNG
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Gender | Male
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Dates
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Enumeration Date | 12/10/2007
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Last Update Date | 12/10/2007
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Provider Practice Location Address
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Address Line | 7701 E BROADWAY BLVD
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City | TUCSON
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State | AZ
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Zip | 85710-3941
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Country | US
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Telephone | 520-722-9525
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Fax | 520-733-5940
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Provider Business Mailing Address
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Address Line | 2440 E GLENN ST APT. 5202
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City | TUCSON
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State | AZ
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Zip | 85719-2867
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Country | US
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Telephone | 800-417-4444
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Fax | 714-571-3560
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 7401
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License Number State | AZ
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