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General NPI Number Information
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NPI Number | 1215846647
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Entity Type | Individual
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Provider Name | NAYOUNG OH DDS
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Gender | Female
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Dates
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Enumeration Date | 09/02/2026
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Last Update Date | 09/02/2026
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Provider Practice Location Address
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Address Line | 725 W 1 ST, LOS BANOS, CA 93635
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City | LOS BANOS
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State | CA
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Zip | 93635
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Country | US
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Telephone | 209-722-4842
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Fax |
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Provider Business Mailing Address
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Address Line | 1547 CONCERTO LN
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City | HUGHSON
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State | CA
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Zip | 95326
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Country | US
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Telephone | 208-484-3078
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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 | 112784
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License Number State | CA
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