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General NPI Number Information
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NPI Number | 1467948554
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Entity Type | Individual
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Provider Name | REBECCA WING CHI CHUNG OD
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Gender | Female
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Dates
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Enumeration Date | 07/02/2018
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Last Update Date | 01/12/2026
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Provider Practice Location Address
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Address Line | 3312 BATTLEGROUND AVE
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City | GREENSBORO
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State | NC
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Zip | 27410-2548
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Country | US
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Telephone | 336-282-5000
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Fax | 336-482-3775
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Provider Business Mailing Address
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Address Line | 2170 MIDLAND RD
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City | SOUTHERN PINES
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State | NC
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Zip | 28387-2999
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Country | US
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Telephone | 910-295-2100
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Fax | 910-295-0917
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 2871
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 4366ATI
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License Number State | OR
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