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General NPI Number Information
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NPI Number | 1457733008
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Entity Type | Individual
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Provider Name | JOHN SUNG HA D.O.
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Gender | Male
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Dates
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Enumeration Date | 06/19/2015
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Last Update Date | 02/16/2026
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Provider Practice Location Address
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Address Line | 209 N BONNIE BRAE ST STE 200
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City | DENTON
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State | TX
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Zip | 76201-3748
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Country | US
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Telephone | 815-316-7300
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Fax |
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Provider Business Mailing Address
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Address Line | 209 N BONNIE BRAE ST STE 200
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City | DENTON
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State | TX
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Zip | 76201-3748
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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 | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number | 036.151616
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number | 5101024545
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License Number State | MI
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Taxonomy #3
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number | V4239
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License Number State | TX
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