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General NPI Number Information
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NPI Number | 1821077868
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Entity Type | Individual
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Provider Name | HEI JIN CHUNG MD
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Gender | Female
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Dates
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Enumeration Date | 01/10/2006
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 601 COVENTRY DR
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City | PHILLIPSBURG
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State | NJ
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Zip | 08865-1971
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Country | US
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Telephone | 908-859-5676
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Fax | 908-859-2576
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Provider Business Mailing Address
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Address Line | 601 COVENTRY DR
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City | PHILLIPSBURG
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State | NJ
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Zip | 08865-1971
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Country | US
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Telephone | 908-859-5676
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Fax | 908-859-2576
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | MA072934
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | MD074263L
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License Number State | PA
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