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General NPI Number Information
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NPI Number | 1861749590
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Entity Type | Individual
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Provider Name | JUN HYUK HWANG D.M.D
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Gender | Male
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Dates
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Enumeration Date | 08/13/2012
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Last Update Date | 01/25/2013
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Provider Practice Location Address
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Address Line | 2401 BELAIR RD SUITE 104
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City | BALTIMORE
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State | MD
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Zip | 21213-1200
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Country | US
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Telephone | 410-522-5777
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Fax |
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Provider Business Mailing Address
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Address Line | 430 W ERIE ST STE 200
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City | CHICAGO
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State | IL
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Zip | 60654-6914
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Country | US
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Telephone | 617-938-9955
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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 | 15168
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License Number State | MD
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