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General NPI Number Information
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NPI Number | 1912658113
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Entity Type | Individual
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Provider Name | ERIC HWANG
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Gender | Male
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Dates
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Enumeration Date | 01/10/2022
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Last Update Date | 06/27/2025
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Provider Practice Location Address
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Address Line | 133 ENGLE ST STE 101
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City | ENGLEWOOD
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State | NJ
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Zip | 07631-2508
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Country | US
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Telephone | 201-569-5121
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Fax |
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Provider Business Mailing Address
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Address Line | 133 ENGLE ST STE 101
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City | ENGLEWOOD
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State | NJ
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Zip | 07631-2508
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Country | US
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Telephone | 201-569-5121
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 22DI02987300
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License Number State | NJ
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