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General NPI Number Information
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NPI Number | 1972974566
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Entity Type | Organization
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Legal Business Name | JOSEPH HWANG DMD INC
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Dates
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Enumeration Date | 10/08/2015
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Last Update Date | 10/08/2015
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Provider Practice Location Address
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Address Line | 1018 MURRIETA BLVD SUITE B
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City | LIVERMORE
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State | CA
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Zip | 94550-4163
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Country | US
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Telephone | 925-273-7650
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Fax | 925-270-0584
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Provider Business Mailing Address
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Address Line | 1018 MURRIETA BLVD SUITE B
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City | LIVERMORE
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State | CA
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Zip | 94550-4163
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Country | US
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Telephone | 925-273-7650
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Fax | 925-270-0584
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Authorized Official
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Title or Position | PRESIDENT
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Name | JOSEPH HWANG
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Credential | DMD
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Telephone | 805-886-7568
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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 | 47097
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License Number State | CA
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