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General NPI Number Information
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NPI Number | 1164208666
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Entity Type | Organization
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Legal Business Name | YING TAO, D.M.D., INC.
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Dates
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Enumeration Date | 08/31/2023
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Last Update Date | 08/31/2023
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Provider Practice Location Address
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Address Line | 39783 PASEO PADRE PKWY
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City | FREMONT
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State | CA
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Zip | 94538-2926
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Country | US
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Telephone | 510-344-6487
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Fax |
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Provider Business Mailing Address
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Address Line | 39783 PASEO PADRE PKWY
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City | FREMONT
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State | CA
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Zip | 94538-2926
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Country | US
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Telephone | 510-344-6487
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | YING TAO
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Credential | D.M.D.
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Telephone | 510-344-6487
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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 |
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License Number State |
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