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General NPI Number Information
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NPI Number | 1295884062
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Entity Type | Individual
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Provider Name | MAI NHU HO D.D.S.
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Gender | Female
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Dates
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Enumeration Date | 01/09/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 15024 PRAIRIE AVE
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City | HAWTHORNE
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State | CA
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Zip | 90250-8316
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Country | US
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Telephone | 310-978-8993
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Fax | 310-978-8997
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Provider Business Mailing Address
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Address Line | 1513 SUGARLEAF RIDGE DR
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City | BAKERSFIELD
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State | CA
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Zip | 93311-5115
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Country | US
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Telephone | 661-607-9382
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 42325
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License Number State | CA
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