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General NPI Number Information
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NPI Number | 1801025309
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Entity Type | Individual
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Provider Name | ADAM G CHUN MD
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Gender | Male
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Dates
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Enumeration Date | 07/07/2009
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Last Update Date | 12/02/2021
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Provider Practice Location Address
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Address Line | 13652 CANTARA ST SUITE NORTH2 #157
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City | PANORAMA CITY
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State | CA
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Zip | 91402-5423
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Country | US
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Telephone | 626-538-5407
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Fax |
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Provider Business Mailing Address
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Address Line | 13652 CANTARA ST SUITE NORTH2 #157
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City | PANORAMA CITY
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State | CA
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Zip | 91402-5423
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Country | US
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Telephone | 626-538-5407
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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 | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | LL31963
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License Number State | SC
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Taxonomy #2
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | A123196
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License Number State | CA
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