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General NPI Number Information
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NPI Number | 1417169996
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Entity Type | Individual
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Provider Name | JESSICA XIAO MING WEI DDS
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Gender | Female
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Dates
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Enumeration Date | 05/04/2007
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Last Update Date | 10/23/2007
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Provider Practice Location Address
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Address Line | 343 GELLERT BLVD SUITE D
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City | DALY CITY
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State | CA
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Zip | 94015-2663
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Country | US
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Telephone | 650-755-1222
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Fax | 650-755-1407
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Provider Business Mailing Address
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Address Line | 131 TIOGA AVE
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City | SAN FRANCISCO
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State | CA
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Zip | 94134-2212
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Country | US
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Telephone | 415-467-2337
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Fax | 650-755-1407
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 51672
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License Number State | CA
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