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General NPI Number Information
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NPI Number | 1346366499
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Entity Type | Organization
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Legal Business Name | TSAI, HSLAO & LOO DENTAL CORPORATION
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Dates
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Enumeration Date | 03/21/2007
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Last Update Date | 11/24/2009
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Provider Practice Location Address
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Address Line | 1111 W. 6TH ST. #120, #102
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City | LOS ANGELES
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State | CA
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Zip | 90017
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Country | US
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Telephone | 213-895-0009
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Fax | 213-895-0012
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Provider Business Mailing Address
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Address Line | P.O BOX 93122
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City | LONG BEACH
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State | CA
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Zip | 90809
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Country | US
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Telephone | 562-424-6200
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Fax |
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Authorized Official
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Title or Position | SUPERVISOR
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Name | MRS. MARIA WILLIAMSON
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Credential |
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Telephone | 562-424-6200
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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 |
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License Number State |
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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 | 48503
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License Number State | CA
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Taxonomy #3
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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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