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General NPI Number Information
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NPI Number | 1124160452
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Entity Type | Organization
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Legal Business Name | JIHEE CHUN DDS, INC
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Dates
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Enumeration Date | 02/13/2007
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Last Update Date | 08/25/2022
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Provider Practice Location Address
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Address Line | 518 W BADILLO ST
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City | COVINA
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State | CA
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Zip | 91722-3762
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Country | US
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Telephone | 263-324-0636
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Fax |
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Provider Business Mailing Address
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Address Line | 518 W BADILLO ST
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City | COVINA
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State | CA
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Zip | 91722-3762
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Country | US
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Telephone | 263-324-0636
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JIHEE CHUN
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Credential | D.D.S
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Telephone | 909-984-4444
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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