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General NPI Number Information
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NPI Number | 1174731467
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Entity Type | Individual
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Provider Name | BONNIE KUNG D.D.S.
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Gender | Female
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Dates
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Enumeration Date | 05/18/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 146 US HIGHWAY 9 MARLBORO PLAZA
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City | ENGLISHTOWN
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State | NJ
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Zip | 07726-8249
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Country | US
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Telephone | 732-536-0138
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Fax |
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Provider Business Mailing Address
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Address Line | 25 TANGLEWOOD CT
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City | FREEHOLD
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State | NJ
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Zip | 07728-9028
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Country | US
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Telephone | 732-577-5578
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 22DI01849900
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 044275-1
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License Number State | NY
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