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General NPI Number Information
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NPI Number | 1134272891
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Entity Type | Individual
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Provider Name | GEORGE YUNG KUNG M.D.
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Gender | Male
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Dates
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Enumeration Date | 01/18/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 120 CRAVEN RD STE 209
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City | SAN MARCOS
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State | CA
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Zip | 92078-4235
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Country | US
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Telephone | 760-761-4088
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Fax | 760-761-4090
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Provider Business Mailing Address
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Address Line | 13014 POLVERA AVE
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City | SAN DIEGO
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State | CA
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Zip | 92128-1138
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Country | US
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Telephone | 858-485-7319
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | G40820
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License Number State | CA
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