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General NPI Number Information
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NPI Number | 1851586978
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Entity Type | Organization
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Legal Business Name | IRVIN KAW DENTAL CORPORATION
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Dates
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Enumeration Date | 09/11/2007
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Last Update Date | 09/11/2007
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Provider Practice Location Address
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Address Line | 7551 GARVEY AVE
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City | ROSEMEAD
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State | CA
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Zip | 91770-2911
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Country | US
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Telephone | 626-288-2886
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Fax |
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Provider Business Mailing Address
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Address Line | 7551 GARVEY AVE
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City | ROSEMEAD
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State | CA
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Zip | 91770-2911
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Country | US
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Telephone | 626-288-2886
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Fax |
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Authorized Official
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Title or Position | DMD
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Name | DR. IRVIN KAW
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Credential |
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Telephone | 626-628-3455
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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