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General NPI Number Information
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NPI Number | 1114496957
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Entity Type | Individual
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Provider Name | ANDREW HOON CHUNG PHARM D.
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Gender | Male
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Dates
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Enumeration Date | 11/23/2018
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Last Update Date | 01/13/2020
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Provider Practice Location Address
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Address Line | 7611A BROADWAY
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City | ELMHURST
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State | NY
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Zip | 11373-1032
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Country | US
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Telephone | 718-507-9277
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Fax | 718-507-9278
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Provider Business Mailing Address
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Address Line | 310 WEATHERLY PL APT B
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City | COLLEGE POINT
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State | NY
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Zip | 11356-1178
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Country | US
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Telephone | 917-369-4794
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 064573
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License Number State | NY
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