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General NPI Number Information
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NPI Number | 1538790944
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Entity Type | Individual
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Provider Name | EUNKWANG ROH DDS
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Gender | Male
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Dates
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Enumeration Date | 02/04/2020
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Last Update Date | 10/12/2021
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Provider Practice Location Address
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Address Line | 13701 E MISSISSIPPI AVE STE 310
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City | AURORA
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State | CO
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Zip | 80012-6142
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Country | US
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Telephone | 303-366-1592
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Fax |
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Provider Business Mailing Address
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Address Line | 7725 GATEWAY UNIT 2350
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City | IRVINE
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State | CA
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Zip | 92618-5825
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Country | US
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Telephone | 720-206-6144
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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 | DDS106906
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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 | DEN.00204261
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License Number State | CO
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