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General NPI Number Information
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NPI Number | 1972735280
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Entity Type | Individual
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Provider Name | KRISTINE M. HYON DMD, MS
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Gender | Female
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Dates
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Enumeration Date | 08/20/2009
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Last Update Date | 07/12/2023
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Provider Practice Location Address
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Address Line | 194 LIVINGSTON ST STE 1
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City | NORTHVALE
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State | NJ
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Zip | 07647-1842
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Country | US
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Telephone | 201-767-4555
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Fax | 201-767-4547
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Provider Business Mailing Address
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Address Line | 194 LIVINGSTON ST STE 1
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City | NORTHVALE
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State | NJ
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Zip | 07647-1842
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Country | US
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Telephone | 201-767-4555
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Fax | 201-767-4547
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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 | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | 046481-1
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | 22D101966300
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License Number State | NJ
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