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General NPI Number Information
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NPI Number | 1528269107
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Entity Type | Individual
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Provider Name | CHRISTINE FUNG R.D.
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Gender | Female
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Dates
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Enumeration Date | 05/30/2007
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Last Update Date | 01/04/2011
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Provider Practice Location Address
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Address Line | 123 DUNHAMS CORNER RD
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City | EAST BRUNSWICK
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State | NJ
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Zip | 08816-3500
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Country | US
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Telephone | 732-254-0113
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Fax | 732-254-2277
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Provider Business Mailing Address
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Address Line | 217 ANN ST
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City | HILLSBOROUGH
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State | NJ
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Zip | 08844-5105
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Country | US
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Telephone | 908-229-5436
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Fax | 908-904-0436
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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 | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number |
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License Number State | NJ
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