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General NPI Number Information
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NPI Number | 1730861212
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Entity Type | Organization
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Legal Business Name | PEGGY CHUANG DMD PC
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Dates
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Enumeration Date | 08/03/2023
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Last Update Date | 08/03/2023
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Provider Practice Location Address
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Address Line | 867 E STANLEY BLVD
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City | LIVERMORE
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State | CA
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Zip | 94550-4008
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Country | US
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Telephone | 909-569-9011
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Fax |
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Provider Business Mailing Address
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Address Line | 40442 SEVILLE CT
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City | FREMONT
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State | CA
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Zip | 94539-3620
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Country | US
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Telephone | 909-569-9011
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Fax |
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Authorized Official
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Title or Position | OWNER DENTIST
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Name | PEGGY CHUANG
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Credential | DMD
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Telephone | 909-569-9011
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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