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General NPI Number Information
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NPI Number | 1003545625
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Entity Type | Individual
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Provider Name | THOMAS HWANG DMD
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Gender | Male
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Dates
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Enumeration Date | 06/08/2022
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Last Update Date | 06/08/2022
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Provider Practice Location Address
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Address Line | 29450 STATE ROAD 54
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City | WESLEY CHAPEL
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State | FL
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Zip | 33543-4226
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Country | US
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Telephone | 813-502-0531
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Fax |
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Provider Business Mailing Address
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Address Line | 30413 FAIRWAY DR
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City | WESLEY CHAPEL
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State | FL
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Zip | 33543-4439
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Country | US
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Telephone | 813-838-8917
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | DN26924
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License Number State | FL
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