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General NPI Number Information
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NPI Number | 1568974335
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Entity Type | Individual
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Provider Name | JOON MITCHELL HUR DDS
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Gender | Male
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Dates
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Enumeration Date | 11/01/2017
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Last Update Date | 01/02/2024
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Provider Practice Location Address
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Address Line | 16120 S HIGHLAND AVE # 300
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City | FONTANA
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State | CA
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Zip | 92336-1228
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Country | US
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Telephone | 909-232-8179
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Fax |
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Provider Business Mailing Address
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Address Line | 322 N PLACER PRIVADO
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City | ONTARIO
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State | CA
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Zip | 91764-5666
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Country | US
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Telephone | 714-290-9607
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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 | 0401415836
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License Number State | VA
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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 | 105252
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License Number State | CA
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