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NPI 1972727543

NPI 1972727543 : CHUN HE M.D., PH.D. : INVERNESS, FL

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General NPI Number Information
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    NPI Number           |    1972727543
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    Entity Type          |    Individual 
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    Provider Name        |    CHUN HE M.D., PH.D.
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    04/12/2007
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    Last Update Date     |    04/07/2022
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Provider Practice Location Address
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    Address Line         |    502 W HIGHLAND BLVD 
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    City                 |    INVERNESS
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    State                |    FL
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    Zip                  |    34452-4720
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    Country              |    US
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    Telephone            |    352-726-0422
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    Fax                  |    352-341-6121
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Provider Business Mailing Address
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    Address Line         |    PO BOX 741087 
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    City                 |    ATLANTA
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    State                |    GA
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    Zip                  |    30374-1087
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    Country              |    US
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    Telephone            |    352-726-0422
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    Fax                  |    352-341-6121
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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        |    207ZP0102X
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    Taxonomy Name        |    Anatomic Pathology & Clinical Pathology Physician
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    License Number       |    ME155766
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    License Number State |    FL
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