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General NPI Number Information
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NPI Number | 1346006012
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Entity Type | Individual
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Provider Name | JOSHUA CHUNG PHARMD
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Gender | Male
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Dates
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Enumeration Date | 02/21/2024
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Last Update Date | 02/21/2024
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Provider Practice Location Address
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Address Line | 4900 WYALUSING AVE ROOM 106/108
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City | PHILADELPHIA
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State | PA
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Zip | 19131-5127
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Country | US
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Telephone | 215-764-6519
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Fax | 215-477-1537
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Provider Business Mailing Address
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Address Line | 4900 WYALUSING AVE ROOM 106/108
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City | PHILADELPHIA
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State | PA
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Zip | 19131-5127
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Country | US
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Telephone | 164-643-6765
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Fax | 215-477-1537
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | RP456675
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License Number State | PA
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