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General NPI Number Information
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NPI Number | 1912051905
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Entity Type | Individual
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Provider Name | GREGORY ALAN HONG D.D.S.
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Gender | Male
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Dates
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Enumeration Date | 01/23/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 20353 LAKE CHABOT RD
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City | CASTRO VALLEY
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State | CA
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Zip | 94546-5392
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Country | US
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Telephone | 510-581-2102
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Fax | 510-581-2321
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Provider Business Mailing Address
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Address Line | 166 CASTLE CREST RD
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City | ALAMO
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State | CA
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Zip | 94507-2671
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Country | US
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Telephone | 925-932-8289
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Fax | 510-581-2321
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 034496
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License Number State | CA
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