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General NPI Number Information
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NPI Number | 1154060846
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Entity Type | Individual
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Provider Name | VU NGUYEN TRAN DMD
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Gender | Female
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Dates
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Enumeration Date | 06/01/2022
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Last Update Date | 06/24/2025
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Provider Practice Location Address
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Address Line | 12420 SAN JOSE BLVD
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City | JACKSONVILLE
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State | FL
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Zip | 32223-2643
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Country | US
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Telephone | 904-901-4691
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Fax |
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Provider Business Mailing Address
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Address Line | 11727 ABESS BLVD APT 1327
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City | JACKSONVILLE
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State | FL
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Zip | 32225-6055
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Country | US
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Telephone | 321-276-9798
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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 | DN122754
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 00205412
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License Number State | CO
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Taxonomy #3
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | DN30238
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License Number State | FL
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