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General NPI Number Information
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NPI Number | 1669722658
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Entity Type | Individual
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Provider Name | JAKE HYUN MOON D.D.S.
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Gender | Male
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Dates
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Enumeration Date | 09/17/2012
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Last Update Date | 02/15/2022
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Provider Practice Location Address
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Address Line | 26795 US HIGHWAY 380 E STE 400
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City | AUBREY
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State | TX
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Zip | 76227-7895
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Country | US
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Telephone | 972-347-6200
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Fax |
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Provider Business Mailing Address
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Address Line | 26795 US HIGHWAY 380 E STE 400
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City | AUBREY
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State | TX
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Zip | 76227-7895
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Country | US
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Telephone | 972-347-6200
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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 | 34971
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License Number State | TX
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