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General NPI Number Information
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NPI Number | 1609184373
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Entity Type | Organization
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Legal Business Name | TND ASSOCIATES, INC.
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Dates
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Enumeration Date | 09/15/2010
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Last Update Date | 09/15/2010
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Provider Practice Location Address
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Address Line | 4915 WASHINGTON AVE SUITE B.
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City | RACINE
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State | WI
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Zip | 53406-4221
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Country | US
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Telephone | 262-619-1949
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Fax | 262-619-1959
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Provider Business Mailing Address
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Address Line | 4915 WASHINGTON AVE SUITE B.
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City | RACINE
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State | WI
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Zip | 53406-4221
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Country | US
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Telephone | 262-619-1949
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Fax | 262-619-1959
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. TONY H. YONG
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Credential | D.M.D.
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Telephone | 262-619-1949
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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 | 6324-015
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License Number State | WI
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