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Individual
DANIEL W. CHUNG
Active
Individual
DANIEL W. CHUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CSA
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
4894
VA
363AS0400X
Surgical Physician Assistant
Primary
4894
NULL
Other
Enumeration date
05/16/2018
Last updated
11/16/2020
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