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General NPI Number Information
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NPI Number | 1497810170
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Entity Type | Individual
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Provider Name | WALLY T HUI DDS
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Gender | Male
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Dates
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Enumeration Date | 12/24/2006
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Last Update Date | 07/30/2019
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Provider Practice Location Address
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Address Line | 3328 S. DEL MAR AVE.
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City | ROSEMEAD
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State | CA
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Zip | 91770-2330
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Country | US
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Telephone | 626-288-9328
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Fax | 626-288-9320
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Provider Business Mailing Address
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Address Line | 3328 S. DEL MAR AVE.
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City | ROSEMEAD
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State | CA
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Zip | 91770-2330
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Country | US
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Telephone | 626-288-9328
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Fax | 626-288-9320
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 51339
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number | 51339
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License Number State | CA
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