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General NPI Number Information
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NPI Number | 1891536744
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Entity Type | Individual
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Provider Name | TIFFANY ZHANGTING PU DDS
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Gender | Female
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Dates
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Enumeration Date | 06/04/2024
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Last Update Date | 08/04/2025
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Provider Practice Location Address
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Address Line | 1563 MISSION ST
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City | SAN FRANCISCO
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State | CA
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Zip | 94103-2543
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Country | US
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Telephone | 415-762-3700
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Fax |
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Provider Business Mailing Address
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Address Line | 238 12TH AVE APT 1
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City | SAN FRANCISCO
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State | CA
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Zip | 94118-2145
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Country | US
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Telephone | 571-269-5665
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 0401418970
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License Number State | VA
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