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General NPI Number Information
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NPI Number | 1245991546
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Entity Type | Organization
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Legal Business Name | A. HAGYEGI DMD INC
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Dates
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Enumeration Date | 01/07/2022
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Last Update Date | 01/07/2022
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Provider Practice Location Address
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Address Line | 126 W EL NORTE PKWY
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City | ESCONDIDO
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State | CA
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Zip | 92026-2502
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Country | US
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Telephone | 760-480-5622
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Fax |
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Provider Business Mailing Address
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Address Line | 1968 S COAST HWY UNIT 1614
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City | LAGUNA BEACH
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State | CA
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Zip | 92651-3681
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Country | US
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Telephone | 858-224-3340
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Fax |
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Authorized Official
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Title or Position | CEO/PRESIDENT
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Name | DR. AUSTIN HAGYEGI
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Credential | MS, DMD
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Telephone | 858-224-3340
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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