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General NPI Number Information
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NPI Number | 1558774737
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Entity Type | Organization
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Legal Business Name | CHRISTOPHER L LOUIE DDS INC
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Dates
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Enumeration Date | 06/05/2014
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Last Update Date | 09/29/2014
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Provider Practice Location Address
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Address Line | 41268 FREMONT BLVD
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City | FREMONT
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State | CA
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Zip | 94538-4823
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Country | US
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Telephone | 510-656-7778
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Fax |
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Provider Business Mailing Address
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Address Line | 41268 FREMONT BLVD
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City | FREMONT
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State | CA
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Zip | 94538-4823
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Country | US
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Telephone | 510-656-7778
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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. CHRISTOPHER LOUIE
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Credential | D.D.S.
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Telephone | 510-656-7778
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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 | 031825
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License Number State | CA
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