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NPI 1265921761

NPI 1265921761 : JAMES JUHNG MD : MANSFIELD, TX

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General NPI Number Information
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    NPI Number           |    1265921761
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    Entity Type          |    Individual 
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    Provider Name        |    JAMES JUHNG MD
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    05/09/2018
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    Last Update Date     |    08/05/2025
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Provider Practice Location Address
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    Address Line         |    2800 E BROAD ST STE 421 
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    City                 |    MANSFIELD
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    State                |    TX
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    Zip                  |    76063-6415
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    Country              |    US
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    Telephone            |    469-695-2028
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    2800 E BROAD ST STE 421 
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    City                 |    MANSFIELD
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    State                |    TX
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    Zip                  |    76063-6415
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    Country              |    US
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    Telephone            |    469-695-2028
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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        |    208600000X
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    Taxonomy Name        |    Surgery Physician
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    License Number       |    MT214900
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    License Number State |    PA
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Taxonomy #2
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    Taxonomy Code        |    208600000X
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    Taxonomy Name        |    Surgery Physician
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    License Number       |    D0100211
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    License Number State |    MD
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Taxonomy #3
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    Taxonomy Code        |    2086S0127X
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    Taxonomy Name        |    Trauma Surgery Physician
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    License Number       |    W0191
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    License Number State |    TX
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