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General NPI Number Information
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NPI Number | 1720257017
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Entity Type | Organization
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Legal Business Name | TSAI HUA TAN DDS INC
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Dates
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Enumeration Date | 02/21/2008
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Last Update Date | 02/21/2008
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Provider Practice Location Address
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Address Line | 18340 COLIMA ROAD STE 2B
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City | ROWLAND HEIGHTS
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State | CA
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Zip | 91748
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Country | US
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Telephone | 626-839-8272
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Fax | 626-839-2424
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Provider Business Mailing Address
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Address Line | 18340 COLIMA ROAD STE 2B
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City | ROWLAND HEIGHTS
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State | CA
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Zip | 91748
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Country | US
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Telephone | 626-839-8272
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Fax | 626-839-2424
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Authorized Official
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Title or Position | DENTIST
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Name | TSAI HUA TAN
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Credential | DDS
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Telephone | 626-839-8272
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number |
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License Number State |
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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 |
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License Number State |
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