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General NPI Number Information
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NPI Number | 1245948199
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Entity Type | Individual
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Provider Name | HAE MI CHUNG
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Gender | Female
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Dates
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Enumeration Date | 11/09/2022
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Last Update Date | 11/09/2022
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Provider Practice Location Address
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Address Line | 1601 N WESTERN AVE
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City | PARK RIDGE
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State | IL
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Zip | 60068-1233
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Country | US
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Telephone | 847-825-5531
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Fax |
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Provider Business Mailing Address
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Address Line | 1324 PFINGSTEN RD
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City | GLENVIEW
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State | IL
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Zip | 60025-2525
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number |
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License Number State |
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