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General NPI Number Information
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NPI Number | 1598013310
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Entity Type | Individual
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Provider Name | HYEWON RHIEU D.D.S.
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Gender | Female
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Dates
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Enumeration Date | 08/28/2012
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Last Update Date | 08/28/2012
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Provider Practice Location Address
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Address Line | 405 LEXINGTON AVE SUITE 6900
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City | NEW YORK
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State | NY
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Zip | 10174-0002
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Country | US
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Telephone | 646-770-6656
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Fax |
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Provider Business Mailing Address
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Address Line | 222 E 34TH ST APT 2004
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City | NEW YORK
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State | NY
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Zip | 10016-4842
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Country | US
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Telephone | 480-277-5280
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 50056373
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License Number State | NY
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