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General NPI Number Information
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NPI Number | 1871335364
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Entity Type | Organization
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Legal Business Name | HEE JIN CHANG DDS, INC
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Dates
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Enumeration Date | 06/06/2024
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Last Update Date | 06/06/2024
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Provider Practice Location Address
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Address Line | 3201 W OLYMPIC BLVD
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City | LOS ANGELES
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State | CA
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Zip | 90006-3392
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Country | US
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Telephone | 213-384-2828
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Fax |
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Provider Business Mailing Address
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Address Line | 3201 W OLYMPIC BLVD
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City | LOS ANGELES
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State | CA
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Zip | 90006-3392
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Country | US
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Telephone | 213-384-2828
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | HEE JIN CHANAG
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Credential | DDS
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Telephone | 213-823-0429
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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