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General NPI Number Information
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NPI Number | 1407352099
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Entity Type | Individual
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Provider Name | JEE HYE HUH DMD
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Gender | Female
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Dates
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Enumeration Date | 04/03/2018
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Last Update Date | 04/29/2018
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Provider Practice Location Address
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Address Line | 11092 ANDERSON ST PRINCE HALL 1452
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City | LOMA LINDA
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State | CA
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Zip | 92350-4330
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Country | US
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Telephone | 909-558-4689
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Fax |
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Provider Business Mailing Address
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Address Line | 11092 ANDERSON STREET PRINCE HALL 3301
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City | LOMA LINDA
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State | CA
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Zip | 92350-0001
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Country | US
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Telephone |
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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 | 102347
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License Number State | CA
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