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General NPI Number Information
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NPI Number | 1972810380
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Entity Type | Individual
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Provider Name | JEFFREY S TSAI D.D.S
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Gender | Male
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Dates
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Enumeration Date | 09/07/2010
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Last Update Date | 09/07/2010
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Provider Practice Location Address
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Address Line | 5351 WILLIS AVE
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City | DALLAS
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State | TX
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Zip | 75206-6434
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Country | US
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Telephone | 415-260-0000
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Fax |
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Provider Business Mailing Address
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Address Line | 5351 WILLIS AVE
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City | DALLAS
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State | TX
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Zip | 75206-6434
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Country | US
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Telephone | 415-260-0000
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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 | 25834
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 59514
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License Number State | CA
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