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General NPI Number Information
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NPI Number | 1770610909
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Entity Type | Individual
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Provider Name | JEANNIE HYE-JOON CHUNG MD
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Gender | Female
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Dates
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Enumeration Date | 02/27/2007
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Last Update Date | 06/01/2010
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Provider Practice Location Address
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Address Line | 107 HIGHLAND AVE
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City | SALEM
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State | MA
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Zip | 01970-2721
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Country | US
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Telephone | 978-744-3223
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Fax | 978-744-4990
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Provider Business Mailing Address
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Address Line | 107 HIGHLAND AVE
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City | SALEM
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State | MA
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Zip | 01970-2721
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Country | US
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Telephone | 978-744-3223
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Fax | 978-744-4990
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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 | 207YX0007X
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Taxonomy Name | Plastic Surgery within the Head & Neck (Otolaryngology) Physician
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License Number | 220376
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License Number State | MA
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