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General NPI Number Information
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NPI Number | 1972799799
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Entity Type | Individual
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Provider Name | DAVID LEE TUNG MD
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Gender | Male
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Dates
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Enumeration Date | 09/16/2007
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Last Update Date | 04/24/2024
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Provider Practice Location Address
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Address Line | 3180 MAIN ST STE 202
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City | BRIDGEPORT
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State | CT
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Zip | 06606-4237
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Country | US
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Telephone | 203-373-1593
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Fax | 203-220-6593
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Provider Business Mailing Address
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Address Line | 3180 MAIN ST STE 202
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City | BRIDGEPORT
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State | CT
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Zip | 06606-4237
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Country | US
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Telephone | 203-373-1593
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Fax | 203-220-6593
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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 | 2081P2900X
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Taxonomy Name | Pain Medicine (Physical Medicine & Rehabilitation) Physician
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License Number | 244714
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 2081P2900X
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Taxonomy Name | Pain Medicine (Physical Medicine & Rehabilitation) Physician
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License Number | 14150
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License Number State | NH
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Taxonomy #3
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Taxonomy Code | 2081P0301X
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Taxonomy Name | Brain Injury Medicine (Physical Medicine & Rehabilitation) Physician
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License Number | 054789
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License Number State | CT
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Taxonomy #4
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Taxonomy Code | 2081S0010X
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Taxonomy Name | Sports Medicine (Physical Medicine & Rehabilitation) Physician
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License Number | 054789
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License Number State | CT
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Taxonomy #5
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Taxonomy Code | 2081S0010X
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Taxonomy Name | Sports Medicine (Physical Medicine & Rehabilitation) Physician
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License Number | 244714
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License Number State | NY
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Taxonomy #6
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | 054789
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License Number State | CT
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