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General NPI Number Information
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NPI Number | 1124297973
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Entity Type | Organization
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Legal Business Name | MENG SYN DDS
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Dates
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Enumeration Date | 02/26/2008
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Last Update Date | 06/19/2008
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Provider Practice Location Address
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Address Line | 841 BLOSSOM HILL RD STE 213
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City | SAN JOSE
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State | CA
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Zip | 95123-2704
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Country | US
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Telephone | 408-224-0404
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Fax | 408-224-0447
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Provider Business Mailing Address
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Address Line | 841 BLOSSOM HILL RD STE 213
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City | SAN JOSE
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State | CA
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Zip | 95123-2704
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Country | US
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Telephone | 408-224-0404
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Fax | 408-224-0447
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Authorized Official
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Title or Position | OWNER
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Name | DR. MENG K SYN
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Credential | DDS
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Telephone | 408-224-0404
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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 | 32185
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License Number State | CA
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