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General NPI Number Information
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NPI Number | 1679152136
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Entity Type | Individual
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Provider Name | ANNIE DAI MD
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Gender | Female
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Dates
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Enumeration Date | 04/02/2021
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Last Update Date | 08/08/2025
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Provider Practice Location Address
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Address Line | 10440 E RIGGS RD STE 160
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City | SUN LAKES
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State | AZ
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Zip | 85248-7757
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Country | US
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Telephone | 480-905-8485
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Fax |
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Provider Business Mailing Address
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Address Line | 9900 N CENTRAL EXPY STE 500
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City | DALLAS
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State | TX
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Zip | 75231-0928
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Country | US
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Telephone | 809-058-4854
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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 | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | 75570
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License Number State | AZ
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