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General NPI Number Information
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NPI Number | 1265165302
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Entity Type | Individual
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Provider Name | JENNY MA DDS
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Gender | Female
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Dates
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Enumeration Date | 07/06/2022
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Last Update Date | 11/04/2022
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Provider Practice Location Address
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Address Line | 990 W FREMONT AVE STE Q
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City | SUNNYVALE
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State | CA
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Zip | 94087-3065
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Country | US
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Telephone | 408-738-2030
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Fax |
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Provider Business Mailing Address
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Address Line | 1095 W EL CAMINO REAL UNIT 149
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City | SUNNYVALE
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State | CA
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Zip | 94087-1667
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Country | US
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Telephone | 425-286-4581
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Fax |
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 106381
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License Number State | CA
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