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General NPI Number Information
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NPI Number | 1679903314
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Entity Type | Organization
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Legal Business Name | JASON T CAO DDS. INC.
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Dates
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Enumeration Date | 11/15/2013
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Last Update Date | 11/15/2013
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Provider Practice Location Address
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Address Line | 9211 BOLSA AVE STE 210
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City | WESTMINSTER
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State | CA
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Zip | 92683-5570
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Country | US
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Telephone | 714-893-1010
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Fax |
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Provider Business Mailing Address
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Address Line | 9211 BOLSA AVE STE 210
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City | WESTMINSTER
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State | CA
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Zip | 92683-5570
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Country | US
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Telephone | 714-893-1010
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JASON THAI CAO
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Credential |
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Telephone | 714-893-1010
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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 | 61712
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License Number State | CA
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