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General NPI Number Information
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NPI Number | 1437112513
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Entity Type | Individual
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Provider Name | LORRAINE Y CHUN M.D.
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Gender | Female
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Dates
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Enumeration Date | 04/10/2006
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Last Update Date | 09/18/2024
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Provider Practice Location Address
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Address Line | 12520 PALM DR
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City | DESERT HOT SPRINGS
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State | CA
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Zip | 92240-4559
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Country | US
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Telephone | 760-416-3770
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Fax | 858-634-6964
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Provider Business Mailing Address
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Address Line | 78219 KENSINGTON AVE
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City | PALM DESERT
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State | CA
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Zip | 92211-2324
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Country | US
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Telephone |
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 64318
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License Number State | CA
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