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General NPI Number Information
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NPI Number | 1851413686
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Entity Type | Individual
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Provider Name | EUN H. HAHN DMD., MMSC.
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Gender | Female
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Dates
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Enumeration Date | 04/04/2007
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Last Update Date | 12/02/2022
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Provider Practice Location Address
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Address Line | 4555 MATTOS DR
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City | FREMONT
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State | CA
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Zip | 94536-6736
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Country | US
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Telephone | 510-797-3636
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Fax | 510-797-3660
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Provider Business Mailing Address
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Address Line | 4555 MATTOS DR
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City | FREMONT
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State | CA
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Zip | 94536-6736
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Country | US
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Telephone | 510-797-3636
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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 | 1223P0700X
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Taxonomy Name | Prosthodontics
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License Number | 035725
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License Number State | CA
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