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General NPI Number Information
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NPI Number | 1235405200
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Entity Type | Organization
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Legal Business Name | LINDA CAO DDS,LLC
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Dates
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Enumeration Date | 03/23/2012
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Last Update Date | 03/13/2023
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Provider Practice Location Address
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Address Line | 2744 MANHATTAN BLVD STE A
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City | HARVEY
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State | LA
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Zip | 70058-6165
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Country | US
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Telephone | 504-207-0314
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Fax | 504-609-3727
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Provider Business Mailing Address
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Address Line | 2744 MANHATTAN BLVD STE A
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City | HARVEY
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State | LA
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Zip | 70058-6165
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Country | US
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Telephone | 504-207-0314
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Fax | 504-609-3727
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Authorized Official
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Title or Position | PEDIATRIC DENTIST
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Name | DR. LINDA CAO
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Credential | DDS
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Telephone | 504-207-0314
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | 5598
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License Number State | LA
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