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General NPI Number Information
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NPI Number | 1720524903
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Entity Type | Organization
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Legal Business Name | PARK & HONG, PLLC
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Dates
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Enumeration Date | 01/12/2017
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Last Update Date | 01/12/2017
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Provider Practice Location Address
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Address Line | 9040 RAINIER AVE S
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City | SEATTLE
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State | WA
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Zip | 98118-5000
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Country | US
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Telephone | 206-723-7221
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Fax |
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Provider Business Mailing Address
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Address Line | 9040 RAINIER AVE S
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City | SEATTLE
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State | WA
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Zip | 98118-5000
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Country | US
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Telephone | 206-723-7221
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. BYUNGJUN ALEX PARK
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Credential | D.D.S.
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Telephone | 425-894-7277
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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 | DE60048922
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License Number State | WA
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