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General NPI Number Information
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NPI Number | 1730385626
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Entity Type | Individual
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Provider Name | RAYMOND J TSENG DDS, PHD
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Gender | Male
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Dates
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Enumeration Date | 06/26/2007
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Last Update Date | 08/13/2012
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Provider Practice Location Address
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Address Line | 351 WELLESLEY TRADE LN 212
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City | CARY
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State | NC
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Zip | 27519-5669
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Country | US
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Telephone | 919-267-4211
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Fax | 888-343-9351
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Provider Business Mailing Address
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Address Line | 351 WELLESLEY TRADE LN 212
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City | CARY
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State | NC
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Zip | 27519-5669
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Country | US
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Telephone | 919-267-4211
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Fax | 888-343-9351
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 8837
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | M290725
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License Number State | MI
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