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General NPI Number Information
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NPI Number | 1508508912
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Entity Type | Organization
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Legal Business Name | ANDY SUH, DMD, LLC
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Dates
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Enumeration Date | 04/07/2022
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Last Update Date | 04/07/2022
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Provider Practice Location Address
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Address Line | 555 W SCHROCK RD STE 130
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City | WESTERVILLE
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State | OH
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Zip | 43081-8739
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Country | US
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Telephone | 714-270-9605
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Fax |
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Provider Business Mailing Address
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Address Line | 6221 UPPER ALBANY CROSSING DR
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City | WESTERVILLE
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State | OH
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Zip | 43081-7566
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Country | US
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Telephone | 714-270-9605
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Fax |
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Authorized Official
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Title or Position | DENTIST
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Name | DR. ANDY SUH
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Credential | DMD
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Telephone | 714-270-9605
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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 |
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License Number State |
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