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General NPI Number Information
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NPI Number | 1740385137
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Entity Type | Organization
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Legal Business Name | GEORGEANNA J HUANG MD PROFESSIONAL CORPORATION
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Dates
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Enumeration Date | 09/13/2006
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Last Update Date | 05/08/2022
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Provider Practice Location Address
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Address Line | 1000 NEWBURY RD STE 165
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City | THOUSAND OAKS
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State | CA
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Zip | 91320-6439
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Country | US
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Telephone | 805-496-9976
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Fax | 805-496-9970
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Provider Business Mailing Address
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Address Line | 1000 NEWBURY RD STE 165
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City | THOUSAND OAKS
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State | CA
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Zip | 91320-6439
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Country | US
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Telephone | 805-496-9976
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Fax | 805-496-9970
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Authorized Official
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Title or Position | PRESIDENT
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Name | GEORGEANNA J HUANG
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Credential | MD
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Telephone | 805-496-9976
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208200000X
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Taxonomy Name | Plastic Surgery Physician
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License Number | A73715
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License Number State | CA
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