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General NPI Number Information
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NPI Number | 1396095576
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Entity Type | Organization
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Legal Business Name | CHARLES C, GIANG, DMD, INC.
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Dates
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Enumeration Date | 09/14/2012
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Last Update Date | 09/14/2012
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Provider Practice Location Address
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Address Line | 771 SOUTHLAND DR
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City | HAYWARD
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State | CA
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Zip | 94545-1538
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Country | US
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Telephone | 510-785-7010
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Fax | 510-783-4357
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Provider Business Mailing Address
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Address Line | 771 SOUTHLAND DR
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City | HAYWARD
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State | CA
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Zip | 94545-1538
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Country | US
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Telephone | 510-785-7010
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Fax | 510-783-4357
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Authorized Official
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Title or Position | OWNER
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Name | MR. CHARLES C GIANG
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Credential | DMD
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Telephone | 510-785-7010
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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 | 47722
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License Number State | CA
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