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General NPI Number Information
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NPI Number | 1487569034
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Entity Type | Individual
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Provider Name | HAILEY MINJI JUNG
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Gender | Female
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Dates
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Enumeration Date | 08/18/2026
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Last Update Date | 08/18/2026
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Provider Practice Location Address
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Address Line | 185 NW JOHN JONES DR STE 600
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City | BURLESON
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State | TX
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Zip | 76028-8043
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Country | US
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Telephone | 817-295-8884
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Fax |
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Provider Business Mailing Address
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Address Line | 151 N MAIN ST APT 2538
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City | BURLESON
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State | TX
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Zip | 76028-4294
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Country | US
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Telephone |
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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 | 1223D0001X
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Taxonomy Name | Public Health Dentistry
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License Number | 42805
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License Number State | TX
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