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General NPI Number Information
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NPI Number | 1497759302
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Entity Type | Individual
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Provider Name | ANDREW S HWANG M.D.,
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Gender | Male
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Dates
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Enumeration Date | 06/08/2005
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 2201 S 19TH ST STE 201
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City | TACOMA
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State | WA
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Zip | 98405-2961
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Country | US
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Telephone | 253-627-8680
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Fax | 253-627-2542
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Provider Business Mailing Address
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Address Line | 2201 S 19TH ST STE 201
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City | TACOMA
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State | WA
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Zip | 98405-2961
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Country | US
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Telephone | 253-627-8680
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Fax | 253-627-2542
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | 27252
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License Number State | WA
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