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General NPI Number Information
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NPI Number | 1649116005
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Entity Type | Individual
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Provider Name | JONATHAN BRUCE JUNG RRT-NPS
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Gender | Male
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Dates
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Enumeration Date | 04/28/2026
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Last Update Date | 04/28/2026
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Provider Practice Location Address
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Address Line | 1216 2ND ST SW
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City | ROCHESTER
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State | MN
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Zip | 55902-1906
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Country | US
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Telephone | 507-284-2511
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Fax |
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Provider Business Mailing Address
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Address Line | 217 14TH AVE SW APT 722
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City | ROCHESTER
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State | MN
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Zip | 55902-1944
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Country | US
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Telephone | 239-810-9300
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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 | 2278P3900X
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Taxonomy Name | Neonatal/Pediatric Certified Respiratory Therapist
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License Number | RT9521
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 2279C0205X
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Taxonomy Name | Critical Care Registered Respiratory Therapist
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License Number | 5373
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License Number State | MN
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Taxonomy #3
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Taxonomy Code | 242T00000X
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Taxonomy Name | Perfusionist
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License Number | 5373
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License Number State | MN
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