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NPI 1881892925

NPI 1881892925 : HUI ZHAO DDS INC. : SANTA PAULA, CA

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General NPI Number Information
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    NPI Number           |    1881892925
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    Entity Type          |    Organization 
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    Legal Business Name  |    HUI ZHAO DDS INC. 
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Dates
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    Enumeration Date     |    07/10/2007
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    Last Update Date     |    03/28/2022
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Provider Practice Location Address
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    Address Line         |    972 E MAIN ST 
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    City                 |    SANTA PAULA
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    State                |    CA
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    Zip                  |    93060-2823
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    Country              |    US
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    Telephone            |    805-525-3001
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    Fax                  |    805-525-7468
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Provider Business Mailing Address
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    Address Line         |    972 E MAIN ST 
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    City                 |    SANTA PAULA
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    State                |    CA
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    Zip                  |    93060-2823
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    Country              |    US
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    Telephone            |    180-552-5300
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    Fax                  |    805-525-7468
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     HUI  ZHAO 
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    Credential           |    DDS
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    Telephone            |    805-525-3001
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    302F00000X
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    Taxonomy Name        |    Exclusive Provider Organization
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    License Number       |    53891
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    License Number State |    CA
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