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General NPI Number Information
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NPI Number | 1235989088
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Entity Type | Individual
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Provider Name | JOSEPH JEONG-GYUN HUR DMD
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Gender | Male
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Dates
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Enumeration Date | 03/25/2024
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Last Update Date | 07/07/2025
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Provider Practice Location Address
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Address Line | 2149 BARRACKS RD
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City | CHARLOTTESVILLE
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State | VA
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Zip | 22903-4810
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Country | US
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Telephone | 434-424-0285
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Fax |
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Provider Business Mailing Address
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Address Line | 2105 BOND ST APT 535
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City | CHARLOTTESVILLE
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State | VA
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Zip | 22901-2045
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Country | US
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Telephone | 714-822-7003
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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 | 22DI03035600
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 0401419378
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License Number State | VA
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