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General NPI Number Information
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NPI Number | 1407205818
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Entity Type | Individual
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Provider Name | AILEEN HAN D.D.S.
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Gender | Female
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Dates
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Enumeration Date | 06/07/2016
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Last Update Date | 07/05/2025
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Provider Practice Location Address
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Address Line | 201 BUSINESS PARK DR STE 101
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City | RINCON
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State | GA
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Zip | 31326-5584
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Country | US
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Telephone | 912-826-2273
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Fax |
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Provider Business Mailing Address
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Address Line | 511 KENDAL CT
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City | SAVANNAH
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State | GA
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Zip | 31419-7008
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Country | US
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Telephone | 515-326-1000
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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 | DN1857179
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | DN30067
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License Number State | FL
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