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General NPI Number Information
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NPI Number | 1013921824
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Entity Type | Organization
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Legal Business Name | HANA DENTAL NY P.C.
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Dates
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Enumeration Date | 07/28/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 35 W 31ST ST FL 2
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City | NEW YORK
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State | NY
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Zip | 10001-4418
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Country | US
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Telephone | 212-594-9197
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Fax | 212-594-9537
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Provider Business Mailing Address
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Address Line | 35 W 31ST ST FL 2
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City | NEW YORK
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State | NY
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Zip | 10001-4418
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Country | US
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Telephone | 212-594-9197
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Fax | 212-594-9537
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. HAN JONG KANG
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Credential | D.D.S.
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Telephone | 212-594-9197
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 048768
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License Number State | NY
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