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General NPI Number Information
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NPI Number | 1033490073
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Entity Type | Individual
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Provider Name | JAMIE H TRAN D.M.D.
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Gender | Female
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Dates
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Enumeration Date | 09/05/2011
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Last Update Date | 07/30/2019
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Provider Practice Location Address
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Address Line | 30212 TOMAS STE 260
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City | RANCHO SANTA MARGARITA
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State | CA
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Zip | 92688-2176
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Country | US
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Telephone | 949-264-6744
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Fax |
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Provider Business Mailing Address
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Address Line | 30212 TOMAS STE 260
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City | RANCHO SANTA MARGARITA
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State | CA
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Zip | 92688-2176
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Country | US
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Telephone | 949-264-6744
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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 | 1223E0200X
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Taxonomy Name | Endodontics
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License Number | 62905
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License Number State | CA
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