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General NPI Number Information
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NPI Number | 1942095625
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Entity Type | Individual
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Provider Name | HYUNG SEOK SUNG
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Gender | Male
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Dates
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Enumeration Date | 04/11/2025
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Last Update Date | 04/11/2025
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Provider Practice Location Address
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Address Line | 12 HARVARD ST
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City | WALTHAM
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State | MA
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Zip | 02453-8513
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Country | US
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Telephone | 781-894-1600
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Fax |
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Provider Business Mailing Address
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Address Line | 26 HICHBORN ST APT 2
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City | BRIGHTON
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State | MA
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Zip | 02135-2234
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Country | US
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Telephone | 857-932-0583
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | PH1000236
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License Number State | MA
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