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General NPI Number Information
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NPI Number | 1962154526
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Entity Type | Organization
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Legal Business Name | HELEN JIA PLLC
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Dates
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Enumeration Date | 01/24/2022
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Last Update Date | 06/03/2022
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Provider Practice Location Address
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Address Line | 16701 N ORACLE RD
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City | TUCSON
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State | AZ
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Zip | 85739-9102
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Country | US
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Telephone | 510-386-7118
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Fax |
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Provider Business Mailing Address
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Address Line | 16701 N ORACLE RD STE 151
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City | TUCSON
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State | AZ
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Zip | 85739-9102
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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 | MEMBER
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Name | HELEN JIA
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Credential | DDS
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Telephone | 510-386-7118
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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 |
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License Number State |
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