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General NPI Number Information
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NPI Number | 1851404750
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Entity Type | Individual
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Provider Name | TERENCE MICHEAL ZANG D.D.S.
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Gender | Male
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Dates
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Enumeration Date | 08/16/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 3112 LUBBOCK AVE
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City | FORT WORTH
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State | TX
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Zip | 76109-2324
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Country | US
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Telephone | 817-921-0253
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Fax | 817-927-7197
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Provider Business Mailing Address
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Address Line | 403 S FIELDER RD
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City | ARLINGTON
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State | TX
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Zip | 76013-1741
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Country | US
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Telephone | 817-275-9688
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Fax | 817-927-7197
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 16108
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License Number State | TX
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