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General NPI Number Information
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NPI Number | 1104456318
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Entity Type | Individual
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Provider Name | SUNG HYUN NAM DDS
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Gender | Male
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Dates
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Enumeration Date | 01/16/2020
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Last Update Date | 01/16/2020
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Provider Practice Location Address
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Address Line | 711 CANAL ST
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City | STAMFORD
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State | CT
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Zip | 06902-6094
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Country | US
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Telephone | 203-490-6226
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Fax |
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Provider Business Mailing Address
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Address Line | 110 TOWNE ST UNIT 114
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City | STAMFORD
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State | CT
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Zip | 06902-5994
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 15230897
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License Number State | CT
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