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General NPI Number Information
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NPI Number | 1932903648
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Entity Type | Organization
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Legal Business Name | JM HURNG DDS, MPH, INC.
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Dates
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Enumeration Date | 04/02/2025
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Last Update Date | 04/02/2025
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Provider Practice Location Address
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Address Line | 325 SHARON PARK DR STE D3
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City | MENLO PARK
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State | CA
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Zip | 94025-6848
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Country | US
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Telephone | 650-321-6448
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Fax |
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Provider Business Mailing Address
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Address Line | 2081 CAMINO AL LAGO
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City | ATHERTON
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State | CA
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Zip | 94027-5938
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Country | US
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Telephone | 408-688-7711
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | DR. JONATHAN MATTHEW HURNG
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Credential | DDS, MPH
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Telephone | 408-688-7711
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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