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General NPI Number Information
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NPI Number | 1336208719
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Entity Type | Organization
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Legal Business Name | EUGENE HUANG D.D.S., P.A.
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Dates
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Enumeration Date | 12/08/2006
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Last Update Date | 04/04/2024
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Provider Practice Location Address
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Address Line | 1811A CRAIN HWY S
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City | GLEN BURNIE
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State | MD
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Zip | 21061-5504
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Country | US
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Telephone | 410-760-4455
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Fax | 410-766-9704
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Provider Business Mailing Address
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Address Line | 1811A CRAIN HWY S
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City | GLEN BURNIE
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State | MD
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Zip | 21061-5504
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Country | US
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Telephone | 410-760-4455
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Fax | 410-766-9704
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | JEAN KASTEN
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Credential |
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Telephone | 410-760-4455
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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 | 8529
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License Number State | MD
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