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General NPI Number Information
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NPI Number | 1760650600
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Entity Type | Individual
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Provider Name | JONATHAN S WON DDS
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Gender | Male
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Dates
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Enumeration Date | 02/13/2008
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Last Update Date | 06/03/2024
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Provider Practice Location Address
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Address Line | 39522 10TH ST W STE C
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City | PALMDALE
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State | CA
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Zip | 93551-3757
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Country | US
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Telephone | 661-433-4061
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Fax | 661-287-1592
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Provider Business Mailing Address
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Address Line | 39522 10TH ST W STE C
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City | PALMDALE
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State | CA
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Zip | 93551-3757
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Country | US
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Telephone | 661-267-5700
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Fax | 661-267-0103
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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 | 44125
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License Number State | CA
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