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General NPI Number Information
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NPI Number | 1487049037
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Entity Type | Individual
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Provider Name | MARK EUGENE HWANG
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Gender | Male
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Dates
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Enumeration Date | 03/31/2015
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Last Update Date | 11/18/2020
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Provider Practice Location Address
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Address Line | 5 PERRYRIDGE RD
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City | GREENWICH
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State | CT
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Zip | 06830-4608
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Country | US
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Telephone | 208-863-3911
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Fax |
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Provider Business Mailing Address
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Address Line | 622 W 168TH ST CHONY NORTH BASEMENT ROOM 11
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City | NEW YORK
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State | NY
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Zip | 10032-3720
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Country | US
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Telephone | 212-305-7801
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 2085R0001X
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Taxonomy Name | Radiation Oncology Physician
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License Number | 73946
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License Number State | WI
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