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General NPI Number Information
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NPI Number | 1215180088
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Entity Type | Organization
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Legal Business Name | DEWING MEDICINE INC
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Dates
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Enumeration Date | 10/24/2008
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Last Update Date | 01/05/2024
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Provider Practice Location Address
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Address Line | 31862 COAST HWY STE 200
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City | LAGUNA BEACH
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State | CA
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Zip | 92651-6771
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Country | US
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Telephone | 949-340-5454
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Fax | 949-340-5454
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Provider Business Mailing Address
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Address Line | 31862 COAST HWY STE 200
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City | LAGUNA BEACH
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State | CA
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Zip | 92651-6771
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Country | US
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Telephone | 949-340-5454
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Fax | 949-340-5454
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Authorized Official
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Title or Position | PRESIDENT
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Name | JANNE HUYNH DEWING
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Credential | M.D.
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Telephone | 949-340-5454
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number | C52349
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License Number State | CA
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