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General NPI Number Information
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NPI Number | 1043618929
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Entity Type | Organization
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Legal Business Name | JULIE D. TRAN, DDS, LLC
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Dates
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Enumeration Date | 12/09/2014
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Last Update Date | 12/09/2014
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Provider Practice Location Address
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Address Line | 4 HERBERT ST
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City | ALEXANDRIA
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State | VA
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Zip | 22305-2628
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Country | US
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Telephone | 703-836-2213
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Fax |
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Provider Business Mailing Address
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Address Line | 4 HERBERT ST
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City | ALEXANDRIA
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State | VA
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Zip | 22305-2628
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Country | US
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Telephone | 703-836-2213
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Fax |
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Authorized Official
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Title or Position | OWNER DOCTOR
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Name | DR. JULIE DIEP TRAN
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Credential | D.D.S.
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Telephone | 703-836-2213
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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 | VA
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