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General NPI Number Information
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NPI Number | 1972900991
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Entity Type | Organization
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Legal Business Name | DR JAMES CHUNG
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Dates
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Enumeration Date | 11/20/2014
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Last Update Date | 11/20/2014
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Provider Practice Location Address
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Address Line | 1060 E GREEN ST SUITE 106
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City | PASADENA
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State | CA
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Zip | 91106-2408
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Country | US
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Telephone | 626-899-2525
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Fax |
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Provider Business Mailing Address
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Address Line | 1060 E GREEN STREET SUITE 106
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City | PASADENA
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State | CA
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Zip | 91106
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Country | US
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Telephone | 626-899-2525
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | JAMES CHUNG
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Credential | DR
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Telephone | 626-899-2525
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | 15245
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License Number State | CA
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