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General NPI Number Information
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NPI Number | 1295031250
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Entity Type | Organization
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Legal Business Name | TSAI, HSIAO & LOO DENTAL CORPORATION
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Dates
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Enumeration Date | 02/08/2011
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Last Update Date | 02/08/2011
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Provider Practice Location Address
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Address Line | 1154 E PALMDALE BLVD
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City | PALMDALE
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State | CA
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Zip | 93550-4866
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Country | US
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Telephone | 866-427-0474
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Fax |
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Provider Business Mailing Address
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Address Line | 1680 E HILL ST
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City | SIGNAL HILL
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State | CA
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Zip | 90755-3612
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Country | US
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Telephone | 562-424-6200
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Fax | 562-981-5074
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Authorized Official
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Title or Position | CEO
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Name | MATTHEW TSAI
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Credential | DDS
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Telephone | 949-331-7074
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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 | 41564
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License Number State | CA
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