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General NPI Number Information
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NPI Number | 1568813541
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Entity Type | Organization
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Legal Business Name | CHAD LYEW DDS INC.
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Dates
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Enumeration Date | 06/30/2016
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Last Update Date | 06/30/2016
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Provider Practice Location Address
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Address Line | 3911 ALEMANY BLVD STE 1002
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City | SAN FRANCISCO
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State | CA
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Zip | 94132-3291
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Country | US
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Telephone | 650-997-3317
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Fax | 650-756-3886
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Provider Business Mailing Address
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Address Line | 3911 ALEMANY BLVD STE 1002
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City | SAN FRANCISCO
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State | CA
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Zip | 94132-3291
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Country | US
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Telephone | 650-997-3317
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Fax | 650-756-3886
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. CHAD LYEW
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Credential | DDS
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Telephone | 650-997-3317
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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 | 53827
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License Number State | CA
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