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General NPI Number Information
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NPI Number | 1003879404
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Entity Type | Individual
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Provider Name | LINA S HWANG DO
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Gender | Female
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Dates
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Enumeration Date | 04/08/2006
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Last Update Date | 09/22/2022
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Provider Practice Location Address
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Address Line | 3555 CENTERVILLE HWY STE 100
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City | SNELLVILLE
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State | GA
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Zip | 30039-6457
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Country | US
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Telephone | 770-985-9957
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Fax |
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Provider Business Mailing Address
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Address Line | 3205 WOODWARD CROSSING BLVD STE F1039
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City | BUFORD
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State | GA
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Zip | 30519-4938
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Country | US
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Telephone | 718-717-2266
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 221779-1
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 221779
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 51110
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License Number State | CT
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Taxonomy #4
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 91697
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License Number State | GA
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