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General NPI Number Information
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NPI Number | 1790816882
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Entity Type | Individual
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Provider Name | SUNGHEE AHN DMD
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Gender | Female
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Dates
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Enumeration Date | 03/08/2007
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Last Update Date | 08/16/2021
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Provider Practice Location Address
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Address Line | 2419 S DIXIE HWY
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City | WEST PALM BEACH
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State | FL
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Zip | 33401-7935
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Country | US
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Telephone | 561-284-6661
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Fax | 561-284-6110
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Provider Business Mailing Address
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Address Line | 1551 N FLAGLER DR APT 1501
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City | WEST PALM BEACH
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State | FL
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Zip | 33401-3450
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Country | US
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Telephone | 561-317-1190
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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 | 1223E0200X
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Taxonomy Name | Endodontics
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License Number | DN15780
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 1223E0200X
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Taxonomy Name | Endodontics
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License Number | 15780
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License Number State | FL
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