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General NPI Number Information
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NPI Number | 1649900192
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Entity Type | Organization
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Legal Business Name | SANG HOON HAN DDS INC.
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Dates
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Enumeration Date | 06/15/2022
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Last Update Date | 06/15/2022
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Provider Practice Location Address
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Address Line | 34 N MAIN ST
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City | WEST BRIDGEWATER
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State | MA
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Zip | 02379-1735
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Country | US
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Telephone | 508-583-5338
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Fax | 508-583-1398
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Provider Business Mailing Address
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Address Line | 40 GILFEATHER LN
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City | KINGSTON
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State | MA
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Zip | 02364-1876
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Country | US
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Telephone | 909-963-6116
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | DR. SANG HOON JOHN HAN
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Credential | DDS
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Telephone | 909-963-6116
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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