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General NPI Number Information
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NPI Number | 1144533415
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Entity Type | Individual
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Provider Name | THOAI-LAN TRAN DDS, MS
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Gender | Male
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Dates
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Enumeration Date | 07/15/2010
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Last Update Date | 05/17/2012
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Provider Practice Location Address
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Address Line | 8180 GREENSBORO DR SUITE 100
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City | MC LEAN
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State | VA
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Zip | 22102-3888
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Country | US
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Telephone | 703-798-8026
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Fax |
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Provider Business Mailing Address
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Address Line | 10916 MIDDLEGATE DR
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City | FAIRFAX
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State | VA
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Zip | 22032-3018
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Country | US
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Telephone | 703-798-8026
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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 | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | 0401412959
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | 15049
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License Number State | MD
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Taxonomy #3
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | 1001038
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License Number State | DC
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Taxonomy #4
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | 25913
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License Number State | TX
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