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General NPI Number Information
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NPI Number | 1134594609
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Entity Type | Individual
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Provider Name | TAN MEI NA B.D.S
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Gender | Female
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Dates
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Enumeration Date | 12/09/2015
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Last Update Date | 12/16/2015
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Provider Practice Location Address
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Address Line | 801 NEWTON ROAD
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City | IOWA CITY
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State | IA
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Zip | 52242
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Country | US
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Telephone | 319-333-5575
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Fax |
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Provider Business Mailing Address
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Address Line | 30 LINCOLN AVE APT 14
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City | IOWA CITY
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State | IA
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Zip | 52246-2264
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Country | US
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Telephone | 319-333-5575
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | RES-30454
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License Number State | IA
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