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General NPI Number Information
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NPI Number | 1356681324
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Entity Type | Organization
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Legal Business Name | JASON HONG, DDS & KATHY LAM, DDS, P.C.
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Dates
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Enumeration Date | 02/27/2013
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Last Update Date | 02/27/2013
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Provider Practice Location Address
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Address Line | 700 E OGDEN AVE SUIE 307
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City | WESTMONT
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State | IL
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Zip | 60559-5569
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Country | US
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Telephone | 630-789-1555
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Fax | 630-789-9825
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Provider Business Mailing Address
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Address Line | 700 E OGDEN AVE SUIE 307
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City | WESTMONT
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State | IL
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Zip | 60559-5569
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Country | US
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Telephone | 630-789-1555
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Fax | 630-789-9825
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Authorized Official
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Title or Position | PRESIDENT
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Name | JASON HONG
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Credential | DDS
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Telephone | 630-789-1555
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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 | 019026661
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License Number State | IL
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