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General NPI Number Information
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NPI Number | 1942999776
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Entity Type | Individual
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Provider Name | CATHY HUANG
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Gender | Female
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Dates
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Enumeration Date | 05/08/2023
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Last Update Date | 12/13/2024
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Provider Practice Location Address
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Address Line | 2340 LOGANVILLE HWY
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City | GRAYSON
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State | GA
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Zip | 30017-7863
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Country | US
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Telephone | 770-513-0046
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Fax |
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Provider Business Mailing Address
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Address Line | 4600 ROSWELL RD BLDG I309
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City | SANDY SPRINGS
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State | GA
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Zip | 30342-3041
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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 |
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | DN123124
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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