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General NPI Number Information
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NPI Number | 1144276858
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Entity Type | Individual
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Provider Name | EDWARD HOUK CHUN JUNN MD
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Gender | Male
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Dates
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Enumeration Date | 05/25/2006
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Last Update Date | 12/27/2018
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Provider Practice Location Address
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Address Line | 9742 NW SKYVIEW DR
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City | PORTLAND
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State | OR
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Zip | 97231-2668
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Country | US
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Telephone | 503-784-7893
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Fax |
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Provider Business Mailing Address
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Address Line | 9742 NW SKYVIEW DR
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City | PORTLAND
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State | OR
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Zip | 97231-2668
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Country | US
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Telephone |
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | MD60718425
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | MD22282
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License Number State | OR
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