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General NPI Number Information
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NPI Number | 1912871880
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Entity Type | Individual
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Provider Name | RICHARD JAMES HUYNH
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Gender | Male
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Dates
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Enumeration Date | 10/02/2025
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Last Update Date | 10/02/2025
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Provider Practice Location Address
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Address Line | 525 ROUTE 73 S STE 105
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City | MARLTON
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State | NJ
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Zip | 08053-9643
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Country | US
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Telephone | 856-596-4333
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Fax |
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Provider Business Mailing Address
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Address Line | 19 MINNETONKA RD APT 1B
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City | SOMERDALE
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State | NJ
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Zip | 08083-2724
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Country | US
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Telephone | 609-594-6652
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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 | 124Q00000X
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Taxonomy Name | Dental Hygienist
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License Number | 22HI01274600
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License Number State | NJ
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