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General NPI Number Information
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NPI Number | 1588975890
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Entity Type | Organization
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Legal Business Name | SUANHOW HOWARD FOO DDS PC
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Dates
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Enumeration Date | 07/01/2010
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Last Update Date | 12/14/2015
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Provider Practice Location Address
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Address Line | 3065 S. HACIENDA BLVD
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City | HACIENDA HEIGHTS
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State | CA
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Zip | 91745
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Country | US
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Telephone | 818-445-2755
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Fax |
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Provider Business Mailing Address
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Address Line | 3065 S HACIENDA BLVD
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City | HACIENDA HEIGHTS
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State | CA
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Zip | 91745-5333
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Country | US
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Telephone | 818-445-2755
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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. SUANHOW HOWARD FOO
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Credential | D.D.S.
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Telephone | 818-445-2755
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223E0200X
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Taxonomy Name | Endodontics
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License Number | 50252
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License Number State | CA
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