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General NPI Number Information
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NPI Number | 1780177865
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Entity Type | Organization
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Legal Business Name | TUAN CHAU, PLLC
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Dates
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Enumeration Date | 06/13/2018
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Last Update Date | 06/13/2018
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Provider Practice Location Address
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Address Line | 5080 SPECTRUM DR STE 610E
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City | ADDISON
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State | TX
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Zip | 75001-6487
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Country | US
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Telephone | 972-233-2111
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Fax |
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Provider Business Mailing Address
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Address Line | 6509 TEXANA WAY
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City | PLANO
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State | TX
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Zip | 75074-2089
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Country | US
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Telephone | 626-374-0676
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | TUAN ANH CHAU
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Credential | DMD
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Telephone | 626-374-0676
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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 | 31375
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License Number State | TX
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