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General NPI Number Information
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NPI Number | 1548448715
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Entity Type | Individual
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Provider Name | KAY KYUNGSOOK CHUNG RPH.
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Gender | Female
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Dates
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Enumeration Date | 02/09/2008
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Last Update Date | 02/15/2008
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Provider Practice Location Address
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Address Line | 12028 CHERRY HILL RD
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City | SILVER SPRING
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State | MD
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Zip | 20904-1949
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Country | US
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Telephone | 301-572-5462
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Fax | 301-572-5798
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Provider Business Mailing Address
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Address Line | 11000 RUTLEDGE DR
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City | NORTH POTOMAC
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State | MD
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Zip | 20878-2504
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Country | US
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Telephone | 301-610-6067
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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 | 09610
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License Number State | MD
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