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General NPI Number Information
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NPI Number | 1124387196
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Entity Type | Organization
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Legal Business Name | 1-STOP DENTAL PLLC
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Dates
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Enumeration Date | 05/11/2012
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Last Update Date | 05/11/2012
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Provider Practice Location Address
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Address Line | 2101-150 HARDWOOD ROAD UNIT #6
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City | BEDFORD
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State | TX
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Zip | 76021
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Country | US
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Telephone | 214-432-0743
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Fax |
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Provider Business Mailing Address
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Address Line | 3225 TURTLE CREEK BLVD, UNIT 809
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City | DALLAS
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State | TX
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Zip | 75219
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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 | DENTIST/PRESIDENT
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Name | DR. VICTORIA TRAN
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Credential | DDS
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Telephone | 650-817-5799
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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 | 25243
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License Number State | TX
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