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General NPI Number Information
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NPI Number | 1295937811
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Entity Type | Organization
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Legal Business Name | HOANGSON DAO DDS & MICHAEL DAO DMD
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Dates
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Enumeration Date | 06/05/2007
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Last Update Date | 08/03/2007
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Provider Practice Location Address
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Address Line | 125 E COMPTON BLVD
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City | COMPTON
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State | CA
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Zip | 90220-2410
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Country | US
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Telephone | 310-856-0687
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Fax | 310-856-0689
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Provider Business Mailing Address
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Address Line | 125 E COMPTON BLVD
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City | COMPTON
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State | CA
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Zip | 90220-2410
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Country | US
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Telephone | 310-856-0687
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Fax | 310-856-0689
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Authorized Official
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Title or Position | PRIMARY DENTIST
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Name | DR. MICHAEL TUAN DAO
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Credential | DMD
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Telephone | 714-785-1352
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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 | CA43931
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | CA46776
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License Number State | CA
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