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General NPI Number Information
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NPI Number | 1497716930
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Entity Type | Organization
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Legal Business Name | HENRY HANG-YEE FUNG, D.D.S. INC.
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Dates
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Enumeration Date | 03/31/2006
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Last Update Date | 05/28/2008
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Provider Practice Location Address
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Address Line | 5424 E BEVERLY BLVD
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City | LOS ANGELES
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State | CA
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Zip | 90022-2208
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Country | US
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Telephone | 323-721-3312
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Fax | 323-721-8822
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Provider Business Mailing Address
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Address Line | 5424 E BEVERLY BLVD
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City | LOS ANGELES
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State | CA
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Zip | 90022-2208
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Country | US
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Telephone | 323-721-3312
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Fax | 323-721-8822
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Authorized Official
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Title or Position | MANAGER
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Name | MARGARET FUNG
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Credential |
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Telephone | 323-721-3312
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number | 30354
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 30354
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | AC001426
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License Number State | CA
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Taxonomy #4
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 30354
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License Number State | CA
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