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General NPI Number Information
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NPI Number | 1598869810
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Entity Type | Individual
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Provider Name | KWANG J CHUN MD
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Gender | Female
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Dates
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Enumeration Date | 09/08/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | MMC - DEPT. OF NUCLEAR MED. 111 EAST 210TH STREET, 4TH FL.
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City | BRONX
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State | NY
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Zip | 10467
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Country | US
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Telephone | 718-920-5011
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Fax |
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Provider Business Mailing Address
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Address Line | 4 HUDSON RIVER RD
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City | BRONX
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State | NY
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Zip | 10471-1227
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Country | US
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Telephone | 718-920-5011
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Fax | 718-920-2629
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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 | 207U00000X
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Taxonomy Name | Nuclear Medicine Physician
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License Number | 122452
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License Number State | NY
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