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General NPI Number Information
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NPI Number | 1932187416
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Entity Type | Individual
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Provider Name | JOSEPH KISE CHUNG M.D.
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Gender | Male
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Dates
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Enumeration Date | 01/05/2006
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Last Update Date | 12/04/2025
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Provider Practice Location Address
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Address Line | 1300 S FIELDER RD
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City | ARLINGTON
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State | TX
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Zip | 76013-2348
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Country | US
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Telephone | 817-277-2221
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Fax | 817-459-5253
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Provider Business Mailing Address
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Address Line | 3116 MYRTICE DR
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City | FLOWER MOUND
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State | TX
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Zip | 75022-0968
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Country | US
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Telephone | 708-359-2919
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 036106892
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 2020-04159
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License Number State | NC
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Taxonomy #3
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | U9493
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License Number State | TX
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