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General NPI Number Information
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NPI Number | 1770610057
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Entity Type | Organization
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Legal Business Name | FENG GAO & CO PA
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Dates
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Enumeration Date | 02/27/2007
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Last Update Date | 04/24/2015
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Provider Practice Location Address
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Address Line | 9110 BELLAIRE BLVD SUITE P
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City | HOUSTON
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State | TX
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Zip | 77036
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Country | US
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Telephone | 713-773-9621
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Fax | 713-773-9625
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Provider Business Mailing Address
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Address Line | 9110 BELLAIRE BLVD SUITE P
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City | HOUSTON
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State | TX
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Zip | 77036
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Country | US
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Telephone | 713-773-9621
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Fax | 713-773-9625
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. FENG GAO
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Credential | DDS
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Telephone | 713-773-9621
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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 | 17952
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License Number State | TX
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