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General NPI Number Information
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NPI Number | 1881386324
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Entity Type | Individual
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Provider Name | MONIQUE ANN GAO DDS
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Gender | Female
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Dates
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Enumeration Date | 05/23/2023
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Last Update Date | 07/24/2025
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Provider Practice Location Address
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Address Line | 40760 CALIFORNIA OAKS RD
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City | MURRIETA
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State | CA
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Zip | 92562-5791
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Country | US
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Telephone | 951-677-3078
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Fax |
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Provider Business Mailing Address
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Address Line | 40628 LOS ALAMOS RD APT 2102
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City | MURRIETA
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State | CA
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Zip | 92562-2707
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Country | US
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Telephone | 818-857-0575
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Fax |
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 111156
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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