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General NPI Number Information
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NPI Number | 1851411680
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Entity Type | Individual
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Provider Name | MICHAEL WHANG DDS
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Gender | Male
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Dates
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Enumeration Date | 03/29/2007
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Last Update Date | 08/30/2016
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Provider Practice Location Address
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Address Line | 3700 WILSHIRE BLVD #780
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City | LOS ANGELES
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State | CA
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Zip | 90010
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Country | US
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Telephone | 213-380-7900
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Fax |
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Provider Business Mailing Address
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Address Line | 16055 VENTURA BLVD STE 405
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City | ENCINO
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State | CA
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Zip | 91436-2608
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Country | US
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Telephone | 818-990-5090
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 51154
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License Number State | CA
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