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General NPI Number Information
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NPI Number | 1982276572
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Entity Type | Individual
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Provider Name | SEONG SIK HWANG DDS
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Gender | Male
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Dates
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Enumeration Date | 07/13/2021
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Last Update Date | 10/03/2023
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Provider Practice Location Address
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Address Line | 26910 NEWPORT RD STE B
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City | MENIFEE
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State | CA
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Zip | 92584-9081
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Country | US
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Telephone | 951-679-6677
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Fax |
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Provider Business Mailing Address
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Address Line | 26000 W LUGONIA AVE APT 4118
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City | REDLANDS
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State | CA
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Zip | 92374-5111
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Country | US
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Telephone | 707-346-7046
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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 | 106501
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License Number State | CA
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