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General NPI Number Information
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NPI Number | 1639619455
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Entity Type | Organization
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Legal Business Name | PAUL HUNG DDS PLLC
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Dates
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Enumeration Date | 02/27/2017
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Last Update Date | 02/27/2017
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Provider Practice Location Address
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Address Line | 4041 W WHEATLAND RD SUITE 202
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City | DALLAS
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State | TX
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Zip | 75237-4063
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Country | US
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Telephone | 972-780-1919
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Fax |
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Provider Business Mailing Address
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Address Line | 2448 BEACHVIEW DR
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City | GRAND PRAIRIE
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State | TX
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Zip | 75054-6816
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | DR. PAUL HUNG
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Credential | D.D.S.
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Telephone | 214-364-6018
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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 | 29462
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License Number State | TX
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