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General NPI Number Information
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NPI Number | 1255423018
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Entity Type | Individual
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Provider Name | SHAUN JOO CHUN M.D.
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Gender | Male
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Dates
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Enumeration Date | 09/29/2006
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Last Update Date | 05/12/2023
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Provider Practice Location Address
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Address Line | 1224 NJ-23 NORTH
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City | BUTLER
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State | NJ
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Zip | 07405
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Country | US
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Telephone | 862-246-7945
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Fax |
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Provider Business Mailing Address
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Address Line | 1 DIAMOND HILL RD
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City | BERKELEY HEIGHTS
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State | NJ
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Zip | 07922-2104
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Country | US
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Telephone | 908-273-4300
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 25MA07091000
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License Number State | NJ
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