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General NPI Number Information
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NPI Number | 1689391195
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Entity Type | Individual
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Provider Name | YOUNSUNG JUNG PHARM.D
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Gender | Male
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Dates
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Enumeration Date | 10/25/2022
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Last Update Date | 10/25/2022
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Provider Practice Location Address
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Address Line | 374 STOCKHOLM ST
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City | BROOKLYN
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State | NY
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Zip | 11237-4006
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Country | US
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Telephone | 718-907-8316
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Fax |
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Provider Business Mailing Address
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Address Line | 7818 226TH ST UNIT A
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City | BAYSIDE
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State | NY
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Zip | 11364-3625
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Country | US
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Telephone | 917-568-8813
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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 | 1835C0205X
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Taxonomy Name | Critical Care Pharmacist
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License Number | 048873
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License Number State | NY
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