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General NPI Number Information
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NPI Number | 1538342258
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Entity Type | Organization
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Legal Business Name | ZAW PROFESSIONAL DENTAL, CORP.
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Dates
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Enumeration Date | 12/17/2007
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Last Update Date | 12/17/2007
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Provider Practice Location Address
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Address Line | 126 W EL NORTE PKWY
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City | ESCONDIDO
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State | CA
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Zip | 92026-2502
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Country | US
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Telephone | 760-741-8986
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Fax | 760-741-8987
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Provider Business Mailing Address
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Address Line | 126 W EL NORTE PKWY
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City | ESCONDIDO
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State | CA
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Zip | 92026-2502
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Country | US
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Telephone | 760-741-8986
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Fax | 760-741-8987
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Authorized Official
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Title or Position | OWNER/DENTIST
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Name | MR. TIMOTHY ZAW
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Credential | D.D.S.
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Telephone | 760-741-8986
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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 | 38087
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License Number State | CA
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