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General NPI Number Information
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NPI Number | 1124134184
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Entity Type | Individual
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Provider Name | OANH THI TRAN D.D.S.
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Gender | Female
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Dates
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Enumeration Date | 08/22/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 9938 BOLSA AVE SUITE 106
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City | WESTMINSTER
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State | CA
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Zip | 92683-6039
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Country | US
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Telephone | 714-531-1192
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Fax | 714-531-1238
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Provider Business Mailing Address
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Address Line | 11190 BELLFLOWER AVE
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City | FOUNTAIN VALLEY
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State | CA
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Zip | 92708-1759
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Country | US
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Telephone | 714-775-2584
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 40896
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License Number State | CA
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