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General NPI Number Information
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NPI Number | 1275116329
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Entity Type | Individual
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Provider Name | GRACE HUANG DMD
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Gender | Female
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Dates
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Enumeration Date | 05/05/2021
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Last Update Date | 07/30/2024
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Provider Practice Location Address
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Address Line | 188 LONGWOOD AVE
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City | BOSTON
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State | MA
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Zip | 02115-5888
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Country | US
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Telephone | 617-432-1434
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Fax |
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Provider Business Mailing Address
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Address Line | 18 DALE ST UNIT 5A
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City | ANDOVER
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State | MA
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Zip | 01810-5663
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Country | US
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Telephone | 978-886-8451
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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 | DN1859097
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | DN1859097
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License Number State | MA
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