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General NPI Number Information
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NPI Number | 1255685830
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Entity Type | Organization
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Legal Business Name | YUHAO GAO DDS, A PROFESSIONAL CORPORATION
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Dates
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Enumeration Date | 11/03/2012
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Last Update Date | 11/03/2012
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Provider Practice Location Address
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Address Line | 3283 BERNAL AVE SUITE 108
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City | PLEASANTON
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State | CA
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Zip | 94566-6237
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Country | US
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Telephone | 925-249-9242
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Fax |
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Provider Business Mailing Address
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Address Line | 3283 BERNAL AVE SUITE 108
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City | PLEASANTON
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State | CA
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Zip | 94566-6237
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Country | US
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Telephone | 925-249-9242
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | YUHAO GAO
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Credential |
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Telephone | 925-249-9242
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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 | 56121
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License Number State | CA
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