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General NPI Number Information
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NPI Number | 1518119338
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Entity Type | Organization
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Legal Business Name | JIHUA CAO DDS, APC
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Dates
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Enumeration Date | 10/13/2008
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Last Update Date | 11/07/2012
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Provider Practice Location Address
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Address Line | 5461 HOLT BLVD STE I
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City | MONTCLAIR
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State | CA
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Zip | 91763-4500
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Country | US
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Telephone | 909-983-6888
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Fax | 909-986-4888
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Provider Business Mailing Address
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Address Line | 5461 HOLT BLVD STE I
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City | MONTCLAIR
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State | CA
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Zip | 91763-4500
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Country | US
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Telephone | 909-983-6888
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Fax | 909-986-4888
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Authorized Official
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Title or Position | PRESIDENT
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Name | JIHUA CAO
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Credential |
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Telephone | 909-983-6888
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number | 52718
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License Number State | CA
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