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General NPI Number Information
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NPI Number | 1588587208
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Entity Type | Individual
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Provider Name | JENNY JUNG NP
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Gender | Female
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Dates
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Enumeration Date | 07/31/2026
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Last Update Date | 07/31/2026
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Provider Practice Location Address
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Address Line | 3655 ALAMO ST STE 202
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City | SIMI VALLEY
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State | CA
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Zip | 93063-2187
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Country | US
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Telephone | 805-702-3323
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Fax |
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Provider Business Mailing Address
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Address Line | 2522 MURRAY RIDGE RD
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City | SAN DIEGO
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State | CA
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Zip | 92123-3451
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Country | US
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Telephone | 530-574-8980
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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 | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | 95040511
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License Number State | CA
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