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General NPI Number Information
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NPI Number | 1548307119
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Entity Type | Individual
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Provider Name | LINDA JUNG PHARM.D.
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Gender | Female
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Dates
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Enumeration Date | 01/31/2007
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Last Update Date | 06/01/2022
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Provider Practice Location Address
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Address Line | 316 W CERMAK RD
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City | CHICAGO
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State | IL
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Zip | 60616-1916
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Country | US
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Telephone | 312-791-0392
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Fax |
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Provider Business Mailing Address
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Address Line | 3409 S ABERDEEN ST
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City | CHICAGO
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State | IL
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Zip | 60608-6510
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Country | US
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Telephone | 126-592-8903
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 051038905
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License Number State | IL
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