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General NPI Number Information
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NPI Number | 1548318520
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Entity Type | Individual
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Provider Name | HUIJU WINNIE CHUNG D.O.
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Gender | Female
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Dates
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Enumeration Date | 01/08/2007
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Last Update Date | 09/22/2008
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Provider Practice Location Address
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Address Line | 3655 LOMITA BLVD #211
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City | TORRANCE
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State | CA
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Zip | 90505-3931
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Country | US
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Telephone | 310-406-3818
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Fax |
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Provider Business Mailing Address
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Address Line | 3655 LOMITA BLVD #211
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City | TORRANCE
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State | CA
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Zip | 90505-3931
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Country | US
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Telephone | 310-406-3818
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 20A6809
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License Number State | CA
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