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General NPI Number Information
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NPI Number | 1538993423
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Entity Type | Individual
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Provider Name | SEUNG JIN JANG DMD
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Gender | Male
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Dates
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Enumeration Date | 09/02/2024
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Last Update Date | 03/05/2025
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Provider Practice Location Address
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Address Line | 511 E 3RD ST STE 260
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City | BETHLEHEM
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State | PA
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Zip | 18015-2072
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Country | US
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Telephone | 484-526-2460
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Fax |
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Provider Business Mailing Address
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Address Line | 1804 LENNOX FLATS DR
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City | COLUMBUS
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State | OH
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Zip | 43212-1480
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Country | US
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Telephone | 352-318-7754
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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 | 30.027665
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | DN29165
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State | PA
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