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General NPI Number Information
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NPI Number | 1942492442
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Entity Type | Organization
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Legal Business Name | DOROTHY CHAO, DDS INC.
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Dates
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Enumeration Date | 08/17/2007
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Last Update Date | 02/27/2015
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Provider Practice Location Address
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Address Line | 7757 KATELLA AVE SUTIE D
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City | STANTON
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State | CA
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Zip | 90680-4901
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Country | US
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Telephone | 714-209-7702
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Fax | 714-209-7658
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Provider Business Mailing Address
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Address Line | 7757 KATELLA AVE SUTIE D
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City | STANTON
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State | CA
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Zip | 90680-4901
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Country | US
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Telephone | 714-209-7702
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Fax | 714-209-7658
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Authorized Official
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Title or Position | OWNER
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Name | DOROTHY WENYI CHAO
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Credential | DDS
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Telephone | 714-209-7702
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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 | 44847
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License Number State | CA
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