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General NPI Number Information
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NPI Number | 1073498341
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Entity Type | Individual
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Provider Name | CATHY TRAN
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Gender |
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Dates
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Enumeration Date | 08/07/2025
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Last Update Date | 08/07/2025
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Provider Practice Location Address
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Address Line | 1000 TOWNE CENTER BLVD STE 101
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City | POOLER
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State | GA
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Zip | 31322-4508
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Country | US
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Telephone | 912-748-8585
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Fax |
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Provider Business Mailing Address
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Address Line | 1850 BENTON BLVD UNIT 5111
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City | SAVANNAH
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State | GA
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Zip | 31407-1186
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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 | DN123917
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License Number State | GA
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