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General NPI Number Information
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NPI Number | 1376745398
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Entity Type | Individual
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Provider Name | JOSEPH K CHUNG DMD
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Gender | Male
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Dates
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Enumeration Date | 06/01/2007
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Last Update Date | 01/29/2016
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Provider Practice Location Address
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Address Line | 230 ROCK HILL DRIVE
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City | ROCK HILL
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State | NY
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Zip | 12775
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Country | US
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Telephone | 845-796-3160
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Fax | 845-796-3465
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Provider Business Mailing Address
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Address Line | PO BOX 510
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City | ROCK HILL
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State | NY
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Zip | 12775-0510
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Country | US
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Telephone | 845-796-3160
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Fax | 845-796-3465
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 044771
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License Number State | NY
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