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General NPI Number Information
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NPI Number | 1912109661
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Entity Type | Individual
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Provider Name | JOY KONG M.D.
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Gender | Female
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Dates
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Enumeration Date | 06/04/2007
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Last Update Date | 02/06/2021
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Provider Practice Location Address
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Address Line | 9568 TOPANGA CANYON BLVD
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City | CHATSWORTH
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State | CA
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Zip | 91311-4011
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Country | US
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Telephone | 818-356-8232
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Fax | 818-483-6262
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Provider Business Mailing Address
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Address Line | 9568 TOPANGA CANYON BLVD
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City | CHATSWORTH
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State | CA
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Zip | 91311-4011
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Country | US
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Telephone | 818-356-8232
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Fax | 818-483-6262
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | A93121
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | A93121
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 2084A0401X
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Taxonomy Name | Addiction Medicine (Psychiatry & Neurology) Physician
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License Number | A93121
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License Number State | CA
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