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General NPI Number Information
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NPI Number | 1124477799
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Entity Type | Organization
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Legal Business Name | JENNY OH DDS, APC
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Dates
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Enumeration Date | 06/06/2016
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Last Update Date | 06/06/2016
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Provider Practice Location Address
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Address Line | 14102 PIONEER BLVD
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City | NORWALK
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State | CA
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Zip | 90650
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Country | US
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Telephone | 562-864-2255
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Fax | 562-864-4099
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Provider Business Mailing Address
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Address Line | 14102 PIONEER BLVD
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City | NORWALK
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State | CA
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Zip | 90650
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Country | US
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Telephone | 562-864-2255
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Fax | 562-864-4099
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Authorized Official
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Title or Position | DENTIST
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Name | JENNY OH
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Credential | DDS
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Telephone | 562-864-2255
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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 | 44345
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License Number State | CA
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