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General NPI Number Information
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NPI Number | 1235504200
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Entity Type | Organization
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Legal Business Name | MEI LU DDS INC
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Dates
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Enumeration Date | 12/02/2015
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Last Update Date | 12/02/2015
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Provider Practice Location Address
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Address Line | 12540 10TH ST SUITE A
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City | CHINO
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State | CA
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Zip | 91710-3503
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Country | US
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Telephone | 909-627-0921
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Fax | 909-628-5721
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Provider Business Mailing Address
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Address Line | 12540 10TH ST STE A
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City | CHINO
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State | CA
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Zip | 91710-3503
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Country | US
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Telephone | 909-627-0921
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Fax | 909-628-5721
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Authorized Official
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Title or Position | DOCTOR/OWNER
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Name | MEI LU
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Credential |
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Telephone | 909-627-0921
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 57503
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License Number State | CA
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