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General NPI Number Information
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NPI Number | 1699400242
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Entity Type | Individual
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Provider Name | RAN WEI DMD
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Gender | Male
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Dates
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Enumeration Date | 07/18/2022
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Last Update Date | 08/01/2025
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Provider Practice Location Address
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Address Line | 1096 REVERE BEACH PKWY
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City | CHELSEA
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State | MA
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Zip | 02150-1454
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Country | US
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Telephone | 617-336-8587
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Fax |
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Provider Business Mailing Address
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Address Line | 50 SALT ST APT 463
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City | REVERE
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State | MA
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Zip | 02151-6002
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Country | US
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Telephone | 864-680-8343
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | DT-2984
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License Number State | HI
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | DN10000985
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License Number State | MA
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