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General NPI Number Information
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NPI Number | 1417543018
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Entity Type | Organization
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Legal Business Name | G.S.CHUN ACUPUNCTURE, P.C.
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Dates
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Enumeration Date | 12/17/2020
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Last Update Date | 09/28/2022
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Provider Practice Location Address
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Address Line | 207 HALLOCK RD STE 209
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City | STONY BROOK
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State | NY
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Zip | 11790-3082
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Country | US
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Telephone | 929-412-7558
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Fax |
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Provider Business Mailing Address
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Address Line | 2739 164TH ST FL 2
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City | FLUSHING
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State | NY
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Zip | 11358-1061
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Country | US
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Telephone | 303-319-9397
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Fax |
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Authorized Official
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Title or Position | ACUPUNCTURIST
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Name | GYU CHUN
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Credential | L.AC
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Telephone | 303-319-9397
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP3300X
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Taxonomy Name | Pain Clinic/Center
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License Number |
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License Number State |
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