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General NPI Number Information
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NPI Number | 1437867850
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Entity Type | Organization
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Legal Business Name | TROY FAMILY DENTISTRY PLLC
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Dates
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Enumeration Date | 11/15/2022
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Last Update Date | 11/19/2022
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Provider Practice Location Address
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Address Line | 1155 E LONG LAKE RD STE 8
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City | TROY
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State | MI
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Zip | 48085-4942
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Country | US
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Telephone | 248-689-5508
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Fax |
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Provider Business Mailing Address
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Address Line | 1155 E LONG LAKE RD STE 8
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City | TROY
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State | MI
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Zip | 48085-4942
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Country | US
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Telephone | 248-689-5508
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JOHN PAUL HWANG
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Credential | DDS
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Telephone | 734-730-0282
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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 |
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License Number State |
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