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General NPI Number Information
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NPI Number | 1861316424
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Entity Type | Individual
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Provider Name | JAEGUN JUNG
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Gender | Male
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Dates
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Enumeration Date | 08/06/2026
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Last Update Date | 09/01/2026
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Provider Practice Location Address
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Address Line | 4501 GUADALUPE ST
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City | AUSTIN
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State | TX
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Zip | 78751-2937
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Country | US
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Telephone | 512-323-6098
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Fax |
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Provider Business Mailing Address
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Address Line | 1414 E 51ST ST UNIT 532
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City | AUSTIN
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State | TX
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Zip | 78723-3775
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Country | US
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Telephone |
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 77808
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License Number State | TX
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