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General NPI Number Information
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NPI Number | 1033393814
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Entity Type | Individual
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Provider Name | ERIN SUJEONG HONG DDS, PPLC
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Gender | Female
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Dates
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Enumeration Date | 12/28/2007
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Last Update Date | 08/25/2025
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Provider Practice Location Address
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Address Line | 2977 SOUTH PRECINCT LINE ROAD SUITE # 213
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City | FORT WORTH
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State | TX
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Zip | 76118-7609
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Country | US
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Telephone | 817-595-9600
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Fax | 817-595-9609
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Provider Business Mailing Address
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Address Line | 2249 MEDICAL CENTER PKWY STE B
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City | MURFREESBORO
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State | TN
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Zip | 37129-4280
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Country | US
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Telephone |
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 12014
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License Number State | TN
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