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General NPI Number Information
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NPI Number | 1487030466
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Entity Type | Individual
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Provider Name | ERIC HU D.M.D.
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Gender | Male
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Dates
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Enumeration Date | 08/03/2015
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Last Update Date | 04/26/2024
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Provider Practice Location Address
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Address Line | 36000 SHOEMAKER LANE SUITE 1051
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City | FORT CAVAZOS
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State | TX
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Zip | 76544
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Country | US
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Telephone | 254-286-7501
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Fax |
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Provider Business Mailing Address
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Address Line | 36014 WRATTEN AVE,
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City | KILLEEN
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State | TX
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Zip | 76544
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Country | US
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Telephone | 707-344-7608
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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 | 64521
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 1223P0700X
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Taxonomy Name | Prosthodontics
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License Number | 64521
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License Number State | CA
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