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General NPI Number Information
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NPI Number | 1194845149
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Entity Type | Individual
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Provider Name | JUNG EUN HUH D.M.D.
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Gender | Female
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Dates
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Enumeration Date | 03/30/2007
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Last Update Date | 12/30/2008
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Provider Practice Location Address
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Address Line | 475 HIGH MOUNTAIN RD
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City | NORTH HALEDON
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State | NJ
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Zip | 07508-2664
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Country | US
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Telephone | 973-423-0774
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Fax |
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Provider Business Mailing Address
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Address Line | 1111 RIVER RD B4
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City | EDGEWATER
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State | NJ
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Zip | 07020-1335
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Country | US
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Telephone | 267-230-8344
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | DS036876
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 052970
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 22DI02335200
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License Number State | NJ
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