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1689766693 NPI number — BINH MINH CHUNG M.D.

NPI Number: 1689766693
Health Care Provider/Practitioner: BINH MINH CHUNG M.D.

Information about “1689766693” NPI (BINH MINH CHUNG M.D.) exists in 1689766693 in HTML format HTML  |  1689766693 in plain Text format TXT  |  1689766693 in PDF (Portable Document Format) PDF  |  1689766693 in an XML format XML  formats.

NPI Number : 1689766693 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1689766693",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "CHUNG",
    "FirstName": "BINH",
    "MiddleName": "MINH",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "M.D.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "7345 S DURANGO DR B107 MAILBOX 52",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "LAS VEGAS",
    "MailingAddressStateName": "NV",
    "MailingAddressPostalCode": "89113-3608",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "170-236-0330",
    "MailingAddressFaxNumber": "170-273-6630",
    "FirstLinePracticeLocationAddress": "7345 S DURANGO DR # B107",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "LAS VEGAS",
    "PracticeLocationAddressStateName": "NV",
    "PracticeLocationAddressPostalCode": "89113-3608",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "702-301-9123",
    "PracticeLocationAddressFaxNumber": "702-240-0414",
    "EnumerationDate": "09/28/2006",
    "LastUpdateDate": "12/12/2007",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "207Q00000X",
        "TaxonomyName": "Family Medicine Physician",
        "LicenseNumber": "11281",
        "LicenseNumberStateCode": "NV",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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