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General NPI Number Information
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NPI Number | 1861705196
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Entity Type | Organization
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Legal Business Name | WILLIAM W. TUNG MD P.C.
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Dates
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Enumeration Date | 07/15/2010
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Last Update Date | 12/03/2024
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Provider Practice Location Address
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Address Line | 2713 CHARLES HARDY PKWY STE 221
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City | DALLAS
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State | GA
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Zip | 30157-9470
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Country | US
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Telephone | 678-501-5420
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Fax | 678-501-5427
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Provider Business Mailing Address
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Address Line | 1770 HIGH TRL
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City | ATLANTA
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State | GA
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Zip | 30339-5617
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Country | US
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Telephone | 770-953-3603
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Fax | 470-787-2178
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. WILLIAM W TUNG
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Credential | MD
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Telephone | 770-953-3603
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | 053409
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License Number State | GA
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