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General NPI Number Information
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NPI Number | 1649957267
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Entity Type | Individual
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Provider Name | BOYOUNG HAN DMD
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Gender | Female
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Dates
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Enumeration Date | 07/05/2023
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Last Update Date | 12/21/2023
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Provider Practice Location Address
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Address Line | 364 HARVARD ST # 1C
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City | BROOKLINE
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State | MA
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Zip | 02446-2920
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Country | US
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Telephone | 617-232-6188
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Fax |
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Provider Business Mailing Address
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Address Line | 101 ASHEVILLE RD UNIT 501
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City | CHESTNUT HILL
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State | MA
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Zip | 02467-3681
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Country | US
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Telephone | 253-514-7840
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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 | DN1859836
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License Number State | MA
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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 | DEN03668
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License Number State | RI
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