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General NPI Number Information
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NPI Number | 1285496216
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Entity Type | Organization
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Legal Business Name | CHR MEDICAL PC
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Dates
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Enumeration Date | 01/25/2024
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Last Update Date | 01/25/2024
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Provider Practice Location Address
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Address Line | 506 S BETHLEHEM PIKE STE 8
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City | FORT WASHINGTON
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State | PA
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Zip | 19034-2111
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Country | US
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Telephone | 267-627-0330
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Fax |
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Provider Business Mailing Address
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Address Line | 506 S BETHLEHEM PIKE STE 8
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City | FORT WASHINGTON
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State | PA
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Zip | 19034-2111
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Country | US
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Telephone | 267-627-0330
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Fax |
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | HACK R CHUNG
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Credential | MD
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Telephone | 267-627-0330
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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