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General NPI Number Information
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NPI Number | 1851496335
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Entity Type | Individual
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Provider Name | CLAYTON V. CHING DDS
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Gender | Male
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Dates
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Enumeration Date | 09/13/2006
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Last Update Date | 02/01/2011
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Provider Practice Location Address
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Address Line | 5475 E LA PALMA AVE SUITE # 111
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City | ANAHEIM
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State | CA
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Zip | 92807-2075
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Country | US
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Telephone | 714-701-1125
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Fax | 714-701-1126
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Provider Business Mailing Address
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Address Line | 5475 E LA PALMA AVE SUITE # 111
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City | ANAHEIM
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State | CA
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Zip | 92807-2075
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Country | US
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Telephone | 714-701-1125
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Fax | 714-701-1126
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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 | 33266
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License Number State | CA
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