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General NPI Number Information
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NPI Number | 1689821985
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Entity Type | Organization
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Legal Business Name | JOSHUA HONG DDS, PLLC
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Dates
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Enumeration Date | 08/19/2008
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Last Update Date | 08/19/2008
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Provider Practice Location Address
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Address Line | 750 N. ESTRELLA PARKWAY SUITE 10
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City | GOODYEAR
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State | AZ
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Zip | 85338-9288
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Country | US
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Telephone | 623-925-8822
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Fax | 623-925-1476
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Provider Business Mailing Address
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Address Line | 750 NORTH ESTRELLA PARKWAY SUITE 10
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City | GOODYEAR
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State | AZ
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Zip | 85338-9288
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Country | US
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Telephone | 623-925-8822
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Fax | 623-925-1476
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Authorized Official
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Title or Position | DENTIST
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Name | DR. JOSHUA HONG
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Credential | D.D.S.
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Telephone | 623-925-8822
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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 | D5683
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License Number State | AZ
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