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General NPI Number Information
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NPI Number | 1942318373
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Entity Type | Individual
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Provider Name | DUKE AHN M.D.
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Gender | Male
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Dates
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Enumeration Date | 08/27/2006
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Last Update Date | 06/17/2020
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Provider Practice Location Address
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Address Line | 3700 KATELLA AVE STE C
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City | LOS ALAMITOS
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State | CA
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Zip | 90720-6409
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Country | US
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Telephone | 562-583-2250
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Fax | 562-583-2254
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Provider Business Mailing Address
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Address Line | 1040 ELM AVE SUITE 100
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City | LONG BEACH
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State | CA
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Zip | 90813-3264
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Country | US
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Telephone | 562-591-4444
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Fax | 562-436-7350
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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 | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | G84554
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License Number State | CA
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