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General NPI Number Information
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NPI Number | 1194090910
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Entity Type | Individual
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Provider Name | HYUN C CHUNG D.C.
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Gender | Male
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Dates
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Enumeration Date | 03/12/2012
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Last Update Date | 09/08/2020
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Provider Practice Location Address
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Address Line | 3400 BRADSHAW RD STE A1
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City | SACRAMENTO
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State | CA
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Zip | 95827-2614
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Country | US
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Telephone | 916-603-8875
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Fax | 916-538-6087
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Provider Business Mailing Address
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Address Line | 3400 BRADSHAW RD STE A1
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City | SACRAMENTO
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State | CA
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Zip | 95827-2614
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Country | US
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Telephone | 916-603-8875
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Fax | 916-538-6087
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | DC27031
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License Number State | CA
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