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General NPI Number Information
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NPI Number | 1295216752
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Entity Type | Individual
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Provider Name | CHIA-CHEN TSAI
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Gender | Female
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Dates
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Enumeration Date | 08/23/2018
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Last Update Date | 09/11/2023
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Provider Practice Location Address
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Address Line | 5510 S IH 35
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City | AUSTIN
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State | TX
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Zip | 78745-3290
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Country | US
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Telephone | 737-977-8505
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Fax |
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Provider Business Mailing Address
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Address Line | 1500 W WILLIAM CANNON DR APT 239
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City | AUSTIN
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State | TX
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Zip | 78745-3767
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Country | US
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Telephone | 504-325-9048
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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 | 1223P0700X
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Taxonomy Name | Prosthodontics
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License Number | 34570
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 34570
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License Number State | TX
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