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General NPI Number Information
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NPI Number | 1508545708
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Entity Type | Individual
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Provider Name | HYOSANG CHEON D.D.S
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Gender | Male
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Dates
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Enumeration Date | 07/14/2023
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Last Update Date | 08/24/2025
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Provider Practice Location Address
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Address Line | 310 WASHINGTON AVE
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City | NORTH HAVEN
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State | CT
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Zip | 06473-1315
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Country | US
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Telephone | 860-609-3558
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Fax |
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Provider Business Mailing Address
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Address Line | 201 MUNSON ST APT 470
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City | NEW HAVEN
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State | CT
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Zip | 06511-0649
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Country | US
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Telephone | 718-710-2377
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 14450
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License Number State | CT
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