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General NPI Number Information
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NPI Number | 1982094017
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Entity Type | Individual
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Provider Name | PAUL HOJIN JANG D.D.S.
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Gender | Male
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Dates
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Enumeration Date | 01/27/2015
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Last Update Date | 02/21/2017
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Provider Practice Location Address
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Address Line | 14711 PRINCETON AVE STE 12
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City | MOORPARK
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State | CA
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Zip | 93021-1469
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Country | US
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Telephone | 805-529-4821
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Fax |
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Provider Business Mailing Address
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Address Line | 24979 CONSTITUTION AVE APT 528
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City | VALENCIA
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State | CA
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Zip | 91381-1734
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Country | US
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Telephone | 909-894-6894
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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 | 64115
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License Number State | CA
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