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General NPI Number Information
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NPI Number | 1407373228
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Entity Type | Individual
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Provider Name | ANDREW JHEON
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Gender | Male
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Dates
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Enumeration Date | 08/23/2017
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Last Update Date | 11/07/2023
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Provider Practice Location Address
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Address Line | 2170 SALK HALL 3501 TERRACE ST UNIVERSITY OF PITTSBURGH
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City | PITTSBURGH
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State | PA
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Zip | 15261-0438
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Country | US
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Telephone | 412-624-9006
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Fax |
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Provider Business Mailing Address
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Address Line | 2189 SALK HALL 3501 TERRACE ST ROOM 2170
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City | PITTSBURGH
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State | PA
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Zip | 15261-0001
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Country | US
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Telephone | 412-624-9006
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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 | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | DS044374
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License Number State | PA
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