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General NPI Number Information
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NPI Number | 1861659286
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Entity Type | Individual
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Provider Name | LILY HWANG D.M.D
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Gender | Female
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Dates
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Enumeration Date | 05/22/2008
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Last Update Date | 02/08/2013
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Provider Practice Location Address
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Address Line | 5005 SIGNAL BELL LN STE 101
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City | CLARKSVILLE
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State | MD
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Zip | 21029-2607
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Country | US
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Telephone | 443-285-2265
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Fax |
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Provider Business Mailing Address
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Address Line | 5005 SIGNAL BELL LANE SUITE 101
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City | CLARKSVILLE
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State | MD
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Zip | 21029
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Country | US
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Telephone | 443-285-2265
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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 | 13942
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License Number State | MD
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