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General NPI Number Information
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NPI Number | 1821977091
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Entity Type | Individual
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Provider Name | BRANDEN EUN-MIN CHUNG
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Gender | Male
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Dates
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Enumeration Date | 09/01/2025
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Last Update Date | 09/01/2025
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Provider Practice Location Address
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Address Line | 2930 SIENA HEIGHTS DR
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City | HENDERSON
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State | NV
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Zip | 89052-3871
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Country | US
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Telephone | 725-726-2000
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Fax |
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Provider Business Mailing Address
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Address Line | 1108 WELLINGTON TER
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City | SCHERERVILLE
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State | IN
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Zip | 46375-1771
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Country | US
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Telephone | 213-254-8955
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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 | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 3736
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License Number State | NV
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