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General NPI Number Information
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NPI Number | 1912018219
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Entity Type | Individual
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Provider Name | JOSEPH SUNGWOOK HONG DO
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Gender | Male
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Dates
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Enumeration Date | 08/31/2006
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 10243 GENETIC CENTER DR
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City | SAN DIEGO
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State | CA
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Zip | 92121-6310
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Country | US
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Telephone | 858-526-6155
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Fax | 619-585-4054
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Provider Business Mailing Address
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Address Line | 525 THIRD AVENUE
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City | CHULA VISTA
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State | CA
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Zip | 91910-5696
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Country | US
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Telephone | 619-585-4050
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Fax | 619-585-4054
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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 | 204D00000X
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Taxonomy Name | Neuromusculoskeletal Medicine & OMM Physician
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License Number | 20A8140
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 204C00000X
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Taxonomy Name | Sports Medicine (Neuromusculoskeletal Medicine) Physician
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License Number | 20A8140
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License Number State | CA
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