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General NPI Number Information
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NPI Number | 1457700171
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Entity Type | Individual
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Provider Name | RUOXUE FENG DMD
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Gender | Female
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Dates
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Enumeration Date | 06/03/2016
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Last Update Date | 10/30/2024
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Provider Practice Location Address
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Address Line | 8077 FLORENCE AVE STE 101
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City | DOWNEY
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State | CA
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Zip | 90240-3894
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Country | US
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Telephone | 562-381-2442
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Fax | 717-848-0812
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Provider Business Mailing Address
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Address Line | TRIDENT GROUP 16901 MELFORD BLVD #332
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City | BOWIE
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State | MD
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Zip | 20715
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Country | US
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Telephone | 301-358-5461
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Fax | 301-358-5552
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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 | 1223E0200X
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Taxonomy Name | Endodontics
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License Number | DDS106156
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License Number State | CA
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