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General NPI Number Information
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NPI Number | 1568195444
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Entity Type | Individual
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Provider Name | SARAH JIANN-WEN PI
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Gender | Female
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Dates
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Enumeration Date | 07/07/2022
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Last Update Date | 07/07/2022
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Provider Practice Location Address
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Address Line | 111 ACADEMY STE 150
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City | IRVINE
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State | CA
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Zip | 92617-3053
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Country | US
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Telephone | 626-532-5492
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Fax |
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Provider Business Mailing Address
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Address Line | 20612 SHEPHERD HILLS DR
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City | DIAMOND BAR
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State | CA
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Zip | 91789-5402
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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 |
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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 | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | DDS107041
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License Number State | CA
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