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General NPI Number Information
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NPI Number | 1316965494
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Entity Type | Individual
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Provider Name | JIMMY HO HWANG M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/17/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 18251 ROSCOE BLVD SUITE 102
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City | NORTHRIDGE
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State | CA
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Zip | 91325-4200
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Country | US
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Telephone | 818-885-0588
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Fax |
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Provider Business Mailing Address
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Address Line | 19943 LASSEN ST
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City | CHATSWORTH
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State | CA
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Zip | 91311-5539
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Country | US
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Telephone | 818-885-0588
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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 | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number | A38692
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License Number State | CA
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