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General NPI Number Information
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NPI Number | 1689970592
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Entity Type | Organization
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Legal Business Name | JIUNN-BOR JASON HWANG MD INC
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Dates
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Enumeration Date | 02/10/2011
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Last Update Date | 02/10/2011
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Provider Practice Location Address
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Address Line | 850 S ATLANTIC BLVD STE 204
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City | MONTEREY PARK
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State | CA
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Zip | 91754-6708
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Country | US
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Telephone | 626-282-2118
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Fax | 626-284-8395
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Provider Business Mailing Address
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Address Line | 850 S ATLANTIC BLVD STE 204
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City | MONTEREY PARK
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State | CA
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Zip | 91754-6708
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Country | US
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Telephone | 626-282-2118
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Fax | 626-284-8395
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Authorized Official
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Title or Position | MD
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Name | JIUNN-BOR JASON HWANG
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Credential |
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Telephone | 626-282-2118
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 305R00000X
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Taxonomy Name | Preferred Provider Organization
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License Number |
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License Number State |
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