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General NPI Number Information
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NPI Number | 1770787939
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Entity Type | Individual
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Provider Name | JASMINE CHIL-MIN SUNG DDS
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Gender | Female
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Dates
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Enumeration Date | 06/12/2007
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Last Update Date | 02/19/2016
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Provider Practice Location Address
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Address Line | 6918 CORPORATE DR STE. A-11
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City | HOUSTON
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State | TX
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Zip | 77036-5112
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Country | US
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Telephone | 713-777-1221
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Fax |
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Provider Business Mailing Address
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Address Line | 6918 CORPORATE DR STE. A-11
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City | HOUSTON
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State | TX
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Zip | 77036-5139
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Country | US
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Telephone | 832-367-6016
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 23320
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License Number State | TX
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