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General NPI Number Information
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NPI Number | 1144340225
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Entity Type | Individual
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Provider Name | ANTHONY HIGUK JUNG M.D
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Gender | Male
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Dates
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Enumeration Date | 03/30/2007
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Last Update Date | 09/27/2014
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Provider Practice Location Address
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Address Line | 40-18MURRAY STREET
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City | FLUSHING
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State | NY
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Zip | 11354-4934
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Country | US
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Telephone | 718-461-6464
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Fax | 718-939-6464
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Provider Business Mailing Address
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Address Line | 40-18 MURRAY STREET
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City | FLUSHING
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State | NY
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Zip | 11354-4934
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Country | US
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Telephone | 718-461-6464
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Fax | 718-939-6464
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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 | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number | 182552
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License Number State | NY
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