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General NPI Number Information
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NPI Number | 1083805550
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Entity Type | Individual
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Provider Name | ANDREW C. FAN RDHAP
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Gender | Male
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Dates
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Enumeration Date | 08/08/2007
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Last Update Date | 01/18/2026
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Provider Practice Location Address
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Address Line | 10360 MANFRE RD
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City | MORGAN HILL
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State | CA
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Zip | 95037-9205
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Country | US
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Telephone | 805-680-6046
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Fax | 408-778-3751
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Provider Business Mailing Address
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Address Line | 10360 MANFRE RD
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City | MORGAN HILL
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State | CA
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Zip | 95037-9205
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Country | US
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Telephone | 805-680-6046
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Fax | 408-778-3751
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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 | 124Q00000X
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Taxonomy Name | Dental Hygienist
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License Number | 186
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License Number State | CA
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