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General NPI Number Information
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NPI Number | 1073669552
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Entity Type | Organization
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Legal Business Name | WENNIFRED S HSU DDS INC
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Dates
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Enumeration Date | 01/26/2007
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Last Update Date | 05/07/2009
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Provider Practice Location Address
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Address Line | 1760 AIRLINE HIGHWAY SUITE G
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City | HOLLISTER
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State | CA
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Zip | 95023
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Country | US
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Telephone | 831-635-9000
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Fax | 831-635-9608
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Provider Business Mailing Address
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Address Line | 1760 AIRLINE HIGHWAY SUITE G
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City | HOLLISTER
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State | CA
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Zip | 95023
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Country | US
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Telephone | 831-635-9000
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Fax | 831-635-9608
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. WENNIFRED SINYU HSU
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Credential | DDS
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Telephone | 831-635-9000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 48462
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License Number State | CA
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