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General NPI Number Information
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NPI Number | 1720299043
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Entity Type | Individual
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Provider Name | JEE AHN DDS
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Gender | Female
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Dates
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Enumeration Date | 05/25/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 355 W MANCHESTER AVE
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City | LOS ANGELES
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State | CA
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Zip | 90003-3327
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Country | US
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Telephone | 323-751-4108
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Fax | 323-751-2853
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Provider Business Mailing Address
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Address Line | 13151 FOUNTAIN PARK DR
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City | PLAYA VISTA
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State | CA
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Zip | 90094-2031
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Country | US
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Telephone | 213-820-8916
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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 | 53188
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License Number State | CA
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