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General NPI Number Information
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NPI Number | 1639328875
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Entity Type | Organization
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Legal Business Name | HAN HADOUNG DDS, INC
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Dates
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Enumeration Date | 09/11/2008
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Last Update Date | 09/11/2008
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Provider Practice Location Address
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Address Line | 9450 TELEGRAPH RD
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City | DOWNEY
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State | CA
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Zip | 90240-2426
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Country | US
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Telephone | 562-904-2157
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Fax | 562-904-9588
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Provider Business Mailing Address
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Address Line | 9450 TELEGRAPH RD
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City | DOWNEY
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State | CA
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Zip | 90240-2426
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Country | US
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Telephone | 562-904-2157
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Fax | 562-904-9588
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Authorized Official
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Title or Position | DOCTOR/PRESIDENT
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Name | DR. HAN HADOUNG
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Credential | D.D.S
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Telephone | 562-904-2157
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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 | 34967
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License Number State | CA
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