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General NPI Number Information
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NPI Number | 1891387221
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Entity Type | Individual
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Provider Name | JAU-JIING DAI
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Gender | Male
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Dates
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Enumeration Date | 02/08/2021
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Last Update Date | 06/05/2025
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Provider Practice Location Address
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Address Line | 12622 E SOUTH ST.
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City | CERRITOS
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State | CA
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Zip | 90703
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Country | US
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Telephone | 562-865-0517
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Fax |
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Provider Business Mailing Address
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Address Line | 3547 DARTMOUTH LN
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City | ROWLAND HEIGHTS
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State | CA
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Zip | 91748-5136
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Country | US
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Telephone | 760-468-7880
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 106257
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License Number State | CA
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Taxonomy #2
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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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