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General NPI Number Information
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NPI Number | 1053751842
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Entity Type | Organization
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Legal Business Name | CHIAO-TZE HWANG DDS INC
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Dates
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Enumeration Date | 06/26/2013
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Last Update Date | 06/26/2013
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Provider Practice Location Address
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Address Line | 4700 PANAMA LN UNIT 102
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City | BAKERSFIELD
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State | CA
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Zip | 93313-3481
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Country | US
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Telephone | 661-836-8999
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Fax | 661-832-5285
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Provider Business Mailing Address
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Address Line | 4700 PANAMA LN SUITE 102
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City | BAKERSFIELD
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State | CA
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Zip | 93313
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Country | US
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Telephone | 661-836-8999
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Fax | 661-832-5285
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Authorized Official
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Title or Position | BILLING
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Name | VICKY ALMENGOR
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Credential |
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Telephone | 661-836-8999
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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 | 48918
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License Number State | CA
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