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General NPI Number Information
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NPI Number | 1073345021
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Entity Type | Individual
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Provider Name | CELINE LINH-CHI TRAN
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Gender | Female
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Dates
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Enumeration Date | 08/19/2024
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Last Update Date | 08/19/2024
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Provider Practice Location Address
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Address Line | 5645 SILVER CREEK VALLEY RD STE 220
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City | SAN JOSE
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State | CA
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Zip | 95138-2474
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Country | US
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Telephone | 408-274-9988
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Fax |
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Provider Business Mailing Address
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Address Line | 110 S ABEL ST
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City | MILPITAS
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State | CA
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Zip | 95035-5251
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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 |
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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 | 110599
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License Number State | CA
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