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NPI 1922817832

NPI 1922817832 : TAO LLC : SHAWNEE, KS

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General NPI Number Information
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    NPI Number           |    1922817832
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    Entity Type          |    Organization 
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    Legal Business Name  |    TAO LLC 
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Dates
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    Enumeration Date     |    01/06/2025
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    Last Update Date     |    01/06/2025
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Provider Practice Location Address
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    Address Line         |    6333 LONG AVE STE 201 
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    City                 |    SHAWNEE
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    State                |    KS
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    Zip                  |    66216-2544
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    Country              |    US
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    Telephone            |    913-268-9300
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    1101 WALNUT ST UNIT 802 
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    City                 |    KANSAS CITY
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    State                |    MO
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    Zip                  |    64106-4202
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    Country              |    US
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    Telephone            |    
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    Fax                  |    
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Authorized Official
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    Title or Position    |    CEO
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    Name                 |     CHIH-YUN  TAO 
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    Credential           |    DDS, MS
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    Telephone            |    857-265-9768
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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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