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General NPI Number Information
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NPI Number | 1932210432
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Entity Type | Individual
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Provider Name | WILLIAM JUNGLAS MD
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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 | 03/08/2012
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Provider Practice Location Address
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Address Line | 3000 Q STREET
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City | SACRAMENTO
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State | CA
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Zip | 95816
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Country | US
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Telephone | 916-733-3333
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Fax |
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Provider Business Mailing Address
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Address Line | 3400 DATA DRIVE CREDENTIALING DEPARTMENT
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City | RANCHO CORDOVA
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State | CA
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Zip | 95670-7956
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Country | US
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Telephone | 916-379-2912
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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 | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | G87338
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License Number State | CA
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