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General NPI Number Information
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NPI Number | 1841488731
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Entity Type | Individual
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Provider Name | BRUNO HSU D.D.S.
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Gender | Male
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Dates
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Enumeration Date | 10/05/2007
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Last Update Date | 01/11/2008
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Provider Practice Location Address
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Address Line | 616 N GARFIELD AVE #102
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City | MONTEREY PARK
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State | CA
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Zip | 91754-1141
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Country | US
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Telephone | 626-288-0208
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Fax |
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Provider Business Mailing Address
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Address Line | 1529 PROSPECT AVE UNIT F
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City | SAN GABRIEL
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State | CA
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Zip | 91776-4400
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Country | US
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Telephone | 917-848-2434
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Fax | 626-308-7892
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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 | 56396
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License Number State | CA
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