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General NPI Number Information
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NPI Number | 1255418455
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Entity Type | Organization
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Legal Business Name | GEORGE HONG YU KAO DDS INC
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Dates
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Enumeration Date | 11/01/2006
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Last Update Date | 07/02/2014
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Provider Practice Location Address
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Address Line | 2035 S HACIENDA BLVD
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City | HACIENDA HEIGHTS
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State | CA
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Zip | 91745
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Country | US
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Telephone | 626-336-2757
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Fax | 626-336-2472
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Provider Business Mailing Address
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Address Line | 2035 S HACIENDA BLVD
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City | HACIENDA HEIGHTS
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State | CA
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Zip | 91745
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Country | US
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Telephone | 626-336-2757
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Fax | 626-336-2472
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Authorized Official
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Title or Position | DR OWNER
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Name | DR. GEORGE HONG-YU KAO
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Credential | DDS
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Telephone | 626-336-2757
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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 | 46272
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License Number State | CA
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