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General NPI Number Information
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NPI Number | 1104975416
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Entity Type | Individual
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Provider Name | ANDREW M DANG DDS
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Gender | Male
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Dates
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Enumeration Date | 01/09/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 2164 S GARFIELD AVE
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City | MONTEREY PARK
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State | CA
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Zip | 91754-6630
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Country | US
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Telephone | 323-728-7851
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Fax | 323-622-0300
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Provider Business Mailing Address
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Address Line | 200 ALDERGATE ST
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City | MONTEREY PARK
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State | CA
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Zip | 91755-6518
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Country | US
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Telephone | 323-721-2477
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 36236
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License Number State | CA
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