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General NPI Number Information
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NPI Number | 1952689903
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Entity Type | Individual
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Provider Name | GABRIELLE K JUNG DDS
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Gender | Female
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Dates
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Enumeration Date | 07/25/2011
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Last Update Date | 02/07/2025
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Provider Practice Location Address
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Address Line | NHCP / NMRTC CP 200 MERCY CIRCLE
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City | CAMP PENDLETON
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State | CA
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Zip | 92055
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Country | US
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Telephone | 760-725-7370
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Fax |
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Provider Business Mailing Address
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Address Line | 13724 STARLIGHT CT
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City | SAN DIEGO
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State | CA
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Zip | 92130-5046
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Country | US
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Telephone | 720-281-4257
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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 | 1223P0700X
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Taxonomy Name | Prosthodontics
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License Number | 10510
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 10510
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License Number State | CO
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