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General NPI Number Information
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NPI Number | 1831299718
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Entity Type | Individual
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Provider Name | JIUPING GU D.D.S.
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Gender | Female
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Dates
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Enumeration Date | 09/22/2006
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Last Update Date | 07/09/2007
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Provider Practice Location Address
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Address Line | 1465 LANDESS AVE
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City | MILPITAS
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State | CA
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Zip | 95035-6953
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Country | US
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Telephone | 408-946-0902
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Fax | 408-946-1782
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Provider Business Mailing Address
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Address Line | 215 W HUNTER LN
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City | FREMONT
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State | CA
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Zip | 94539-6339
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Country | US
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Telephone | 510-770-9548
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Fax | 510-252-0648
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 42153
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License Number State | CA
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