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General NPI Number Information
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NPI Number | 1275671646
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Entity Type | Individual
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Provider Name | JEONG-KU HAHN DDS
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Gender | Male
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Dates
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Enumeration Date | 02/01/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1500 S DASH POINT RD
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City | FEDERAL WAY
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State | WA
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Zip | 98003-3758
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Country | US
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Telephone | 253-839-2800
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Fax | 253-839-2671
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Provider Business Mailing Address
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Address Line | 1500 S DASH POINT RD
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City | FEDERAL WAY
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State | WA
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Zip | 98003-3758
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Country | US
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Telephone | 253-839-2800
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Fax | 253-839-2671
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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 | 00009465
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License Number State | WA
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