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General NPI Number Information
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NPI Number | 1124231659
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Entity Type | Individual
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Provider Name | JACOB THOMAS MING D.D.S.
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Gender | Male
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Dates
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Enumeration Date | 05/08/2007
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Last Update Date | 07/02/2012
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Provider Practice Location Address
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Address Line | 323 GEARY ST # 506
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City | SAN FRANCISCO
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State | CA
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Zip | 94102
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Country | US
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Telephone | 415-781-5232
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Fax | 417-811-8911
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Provider Business Mailing Address
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Address Line | 323 GEARY ST # 506
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City | SAN FRANCISCO
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State | CA
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Zip | 94102
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Country | US
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Telephone | 415-781-5232
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Fax | 415-781-1891
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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 | B3705601
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 37056
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License Number State | CA
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