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General NPI Number Information
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NPI Number | 1912223231
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Entity Type | Individual
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Provider Name | JEFFREY HUANG DDS
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Gender | Male
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Dates
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Enumeration Date | 04/12/2010
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Last Update Date | 06/27/2015
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Provider Practice Location Address
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Address Line | 13 MARKET ST
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City | POUGHKEEPSIE
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State | NY
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Zip | 12601-3207
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Country | US
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Telephone | 845-849-0403
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Fax | 845-849-0488
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Provider Business Mailing Address
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Address Line | 38 RUTGERS ST APT.# 19E
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City | NEW YORK
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State | NY
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Zip | 10002-7408
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Country | US
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Telephone | 315-516-9900
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 055633
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License Number State | NY
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