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General NPI Number Information
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NPI Number | 1811410897
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Entity Type | Individual
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Provider Name | JONATHAN COURTNEY JUNG DC
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Gender | Male
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Dates
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Enumeration Date | 07/20/2017
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Last Update Date | 12/19/2025
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Provider Practice Location Address
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Address Line | 801 JENKS AVE STE C
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City | PANAMA CITY
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State | FL
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Zip | 32401-2569
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Country | US
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Telephone | 520-256-5919
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Fax |
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Provider Business Mailing Address
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Address Line | 801 JENKS AVE STE C
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City | PANAMA CITY
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State | FL
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Zip | 32401-2569
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Country | US
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Telephone | 850-812-8026
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | CH12206
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 13239
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License Number State | TX
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