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General NPI Number Information
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NPI Number | 1205855764
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Entity Type | Individual
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Provider Name | JEFF DING D.D.S.
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Gender | Male
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Dates
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Enumeration Date | 07/18/2006
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Last Update Date | 04/05/2014
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Provider Practice Location Address
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Address Line | 7001 STOCKTON AVE STE. 7
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City | EL CERRITO
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State | CA
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Zip | 94530-2961
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Country | US
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Telephone | 510-558-0562
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Fax | 510-280-6496
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Provider Business Mailing Address
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Address Line | 7001 STOCKTON AVE STE. 7
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City | EL CERRITO
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State | CA
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Zip | 94530-2961
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Country | US
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Telephone | 510-275-4907
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Fax | 510-280-6496
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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 | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | 46469
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License Number State | CA
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