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General NPI Number Information
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NPI Number | 1477275238
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Entity Type | Individual
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Provider Name | BYRON BOYANG HU DMD
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Gender | Male
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Dates
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Enumeration Date | 09/16/2022
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Last Update Date | 03/17/2023
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Provider Practice Location Address
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Address Line | 1954 FRUITVILLE PIKE
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City | LANCASTER
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State | PA
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Zip | 17601-3916
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Country | US
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Telephone | 717-394-4155
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Fax |
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Provider Business Mailing Address
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Address Line | 3900 CHESTNUT ST APT 910
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City | PHILADELPHIA
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State | PA
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Zip | 19104-3125
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Country | US
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Telephone | 352-665-0027
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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 | DS043903
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License Number State | PA
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