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General NPI Number Information
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NPI Number | 1588556138
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Entity Type | Individual
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Provider Name | DAVID JUN DDS
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Gender | Male
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Dates
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Enumeration Date | 07/17/2025
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Last Update Date | 07/17/2025
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Provider Practice Location Address
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Address Line | 1361 W FREMONT ST
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City | GALESBURG
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State | IL
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Zip | 61401-2436
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Country | US
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Telephone | 563-505-1198
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Fax |
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Provider Business Mailing Address
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Address Line | 6126 EMERY CT
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City | BETTENDORF
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State | IA
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Zip | 52722-8813
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Country | US
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Telephone | 563-505-1198
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 019.036287
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License Number State | IL
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