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General NPI Number Information
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NPI Number | 1285756981
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Entity Type | Individual
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Provider Name | CHANG HSIANG HUO DENTIST
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Gender | Male
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Dates
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Enumeration Date | 04/04/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 118 W LAS TUNAS DR SUITE D
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City | ARCADIA
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State | CA
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Zip | 91007
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Country | US
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Telephone | 626-821-6566
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Fax | 626-821-9477
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Provider Business Mailing Address
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Address Line | 17055 ROYAL VIEW DR
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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 | 626-964-3626
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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 | 1223P0300X
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Taxonomy Name | Periodontics
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License Number | 49335
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License Number State | CA
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