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General NPI Number Information
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NPI Number | 1922498880
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Entity Type | Organization
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Legal Business Name | SUSAN HUH DDS, PLLC
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Dates
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Enumeration Date | 01/30/2015
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Last Update Date | 01/30/2015
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Provider Practice Location Address
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Address Line | 3808 BELL BLVD STE 3
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City | BAYSIDE
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State | NY
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Zip | 11361-2080
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Country | US
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Telephone | 917-376-7510
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Fax |
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Provider Business Mailing Address
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Address Line | 2 LAKEVIEW DR
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City | GREAT NECK
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State | NY
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Zip | 11020-1618
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. SUSAN HUH
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Credential | DDS
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Telephone | 917-376-7510
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | 046886
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License Number State | NY
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