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General NPI Number Information
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NPI Number | 1477373751
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Entity Type | Organization
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Legal Business Name | DANIEL TAW, DMD, & PHUONG TRAN, DMD, APDC
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Dates
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Enumeration Date | 10/12/2024
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Last Update Date | 10/12/2024
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Provider Practice Location Address
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Address Line | 135 N SAN MATEO DR
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City | SAN MATEO
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State | CA
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Zip | 94401-2708
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Country | US
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Telephone | 650-451-8871
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Fax |
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Provider Business Mailing Address
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Address Line | 2 HOLIDAY CT
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City | PACIFICA
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State | CA
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Zip | 94044-1499
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. DANIEL TAW
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Credential | DMD
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Telephone | 650-451-8871
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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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