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General NPI Number Information
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NPI Number | 1073237780
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Entity Type | Individual
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Provider Name | CHIE HUNG HU DMD
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Gender | Male
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Dates
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Enumeration Date | 09/27/2022
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Last Update Date | 09/27/2022
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Provider Practice Location Address
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Address Line | 1840 PRAIRIE CITY RD
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City | FOLSOM
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State | CA
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Zip | 95630-9579
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Country | US
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Telephone | 916-351-9808
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Fax |
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Provider Business Mailing Address
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Address Line | 6801 ELVORA WAY
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City | ELK GROVE
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State | CA
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Zip | 95757-5910
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Country | US
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Telephone | 916-996-9065
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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 | DDS107911
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License Number State | CA
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