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General NPI Number Information
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NPI Number | 1841654134
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Entity Type | Individual
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Provider Name | RICHARD YEUP HWANG M.D.
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Gender | Male
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Dates
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Enumeration Date | 04/12/2016
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Last Update Date | 07/05/2022
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Provider Practice Location Address
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Address Line | 101 SAINT ANDREWS LN
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City | GLEN COVE
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State | NY
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Zip | 11542-2263
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Country | US
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Telephone | 516-823-8430
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Fax |
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Provider Business Mailing Address
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Address Line | 10 MEDICAL PLZ STE 203
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City | GLEN COVE
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State | NY
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Zip | 11542-2101
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Country | US
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Telephone | 516-676-1060
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 308992
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License Number State | NY
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