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General NPI Number Information
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NPI Number | 1760365084
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Entity Type | Individual
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Provider Name | EUNICE HAEYOON WHANG DMD
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Gender | Female
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Dates
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Enumeration Date | 07/26/2025
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Last Update Date | 07/26/2025
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Provider Practice Location Address
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Address Line | FERN ST. 8653
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City | BAUMHOLDER
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State | RHEINLAND PFALZ
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Zip | 55774
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Country | DE
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Telephone | 63-719-4641
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Fax |
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Provider Business Mailing Address
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Address Line | UNIT 33100 BOX LANDSTUHL
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City | APO
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State | AE
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Zip | 09180-3100
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Country | US
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Telephone |
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 019036022
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License Number State | IL
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