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General NPI Number Information
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NPI Number | 1821887431
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Entity Type | Organization
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Legal Business Name | JEFFREY Y.H. CHUNG, L.L.C.
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Dates
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Enumeration Date | 05/01/2025
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Last Update Date | 05/01/2025
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Provider Practice Location Address
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Address Line | 16220 FREDERICK RD STE 121
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City | GAITHERSBURG
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State | MD
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Zip | 20877-4016
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Country | US
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Telephone | 301-880-7255
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Fax | 301-990-8889
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Provider Business Mailing Address
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Address Line | PO BOX 1439
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City | LAUREL
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State | MD
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Zip | 20725-1439
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Country | US
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Telephone | 301-880-7255
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Fax | 301-880-7256
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MS. CANDICE PARSI
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Credential |
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Telephone | 301-880-7255
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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 |
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License Number State |
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