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General NPI Number Information
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NPI Number | 1245400944
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Entity Type | Individual
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Provider Name | PAUL JUNG MD, MPH, FACPM
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Gender | Male
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Dates
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Enumeration Date | 03/10/2008
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Last Update Date | 01/25/2024
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Provider Practice Location Address
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Address Line | 5600 FISHERS LN
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City | ROCKVILLE
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State | MD
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Zip | 20857-6053
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Country | US
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Telephone | 301-945-3358
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Fax |
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Provider Business Mailing Address
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Address Line | 5600 FISHERS LN # 15120
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City | ROCKVILLE
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State | MD
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Zip | 20857-6053
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Country | US
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Telephone | 240-706-1213
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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 | 2083P0901X
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Taxonomy Name | Public Health & General Preventive Medicine Physician
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License Number | MD33259
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License Number State | DC
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