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General NPI Number Information
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NPI Number | 1699561738
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Entity Type | Individual
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Provider Name | JULIA YUNHA JEONG DMD
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Gender | Female
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Dates
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Enumeration Date | 04/16/2025
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Last Update Date | 07/03/2025
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Provider Practice Location Address
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Address Line | 28212 KELLY JOHNSON PKWY STE 290
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City | SANTA CLARITA
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State | CA
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Zip | 91355-5093
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Country | US
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Telephone | 661-254-1924
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Fax |
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Provider Business Mailing Address
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Address Line | 4850 HOLLYWOOD BLVD APT 202
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City | LOS ANGELES
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State | CA
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Zip | 90027-3264
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Country | US
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Telephone | 607-882-0983
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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 | 111422
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 1223E0200X
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Taxonomy Name | Endodontics
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License Number | 111422
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License Number State | CA
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