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General NPI Number Information
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NPI Number | 1073400354
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Entity Type | Individual
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Provider Name | EUN A HUR DMD
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Gender | Female
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Dates
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Enumeration Date | 06/19/2025
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Last Update Date | 12/18/2025
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Provider Practice Location Address
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Address Line | 1110 TALUS ST
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City | BOGART
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State | GA
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Zip | 30622-2021
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Country | US
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Telephone | 770-725-7377
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Fax |
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Provider Business Mailing Address
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Address Line | 91 MARKET ST APT 1216
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City | BETHLEHEM
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State | GA
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Zip | 30620-1896
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Country | US
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Telephone | 954-410-6878
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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 | DN123896
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | DN30498
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License Number State | FL
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