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General NPI Number Information
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NPI Number | 1508212614
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Entity Type | Individual
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Provider Name | HOBIN KANG DDS
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Gender | Male
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Dates
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Enumeration Date | 05/06/2016
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Last Update Date | 08/05/2024
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Provider Practice Location Address
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Address Line | 266 SUNRISE HWY
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City | LINDENHURST
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State | NY
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Zip | 11757-2516
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Country | US
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Telephone | 510-390-2113
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Fax |
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Provider Business Mailing Address
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Address Line | 266 SUNRISE HWY
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City | LINDENHURST
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State | NY
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Zip | 11757-2516
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Country | US
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Telephone | 631-226-5252
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 059376
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License Number State | NY
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