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General NPI Number Information
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NPI Number | 1114937497
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Entity Type | Organization
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Legal Business Name | ANTHONY CHUNG, M.D., INC.
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Dates
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Enumeration Date | 08/09/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1000 TRANCAS ST
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City | NAPA
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State | CA
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Zip | 94558-2906
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Country | US
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Telephone | 707-257-4174
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Fax |
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Provider Business Mailing Address
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Address Line | 4370 SUMMERFIELD DR
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City | NAPA
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State | CA
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Zip | 94558-1700
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Country | US
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Telephone | 707-227-8430
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Fax | 707-259-1919
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ANTHONY JAESUN CHUNG
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Credential | M.D.
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Telephone | 707-227-8430
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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 | A61289
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License Number State | CA
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