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General NPI Number Information
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NPI Number | 1952333718
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Entity Type | Individual
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Provider Name | JEFFREY LIU HUNG MD
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Gender | Male
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Dates
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Enumeration Date | 07/06/2006
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Last Update Date | 12/10/2024
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Provider Practice Location Address
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Address Line | 8835 GERMANTOWN AVE
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City | PHILADELPHIA
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State | PA
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Zip | 19118-2718
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Country | US
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Telephone | 215-707-7237
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Fax | 215-707-9389
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Provider Business Mailing Address
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Address Line | 3500 N BROAD STREET ROOM 001A
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City | PHILADELPHIA
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State | PA
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Zip | 19140-4106
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Country | US
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Telephone |
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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 | 2085R0204X
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Taxonomy Name | Vascular & Interventional Radiology Physician
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License Number | MD060244L
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 25MA06914900
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License Number State | NJ
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Taxonomy #3
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Taxonomy Code | 2085R0204X
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Taxonomy Name | Vascular & Interventional Radiology Physician
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License Number | 25MA06914900
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License Number State | NJ
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Taxonomy #4
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | MD060244L
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License Number State | PA
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