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General NPI Number Information
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NPI Number | 1104348960
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Entity Type | Individual
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Provider Name | HOCHAN HWANG DDS
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Gender | Male
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Dates
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Enumeration Date | 07/13/2017
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Last Update Date | 03/19/2019
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Provider Practice Location Address
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Address Line | 1212 E PUTNAM AVE STE 2
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City | RIVERSIDE
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State | CT
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Zip | 06878-1431
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Country | US
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Telephone | 203-637-1115
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Fax | 203-637-0848
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Provider Business Mailing Address
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Address Line | 1212 E PUTNAM AVE STE 2
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City | RIVERSIDE
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State | CT
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Zip | 06878-1431
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Country | US
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Telephone | 203-637-1115
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Fax | 203-637-1115
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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 | 12347
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License Number State | CT
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