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General NPI Number Information
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NPI Number | 1194138222
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Entity Type | Individual
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Provider Name | NINI C. TRAN D.D.S., PH.D.
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Gender | Female
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Dates
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Enumeration Date | 06/05/2014
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Last Update Date | 10/16/2022
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Provider Practice Location Address
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Address Line | 17411 CHATSWORTH ST
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City | GRANADA HILLS
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State | CA
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Zip | 91344-7608
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Country | US
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Telephone | 818-360-2131
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Fax |
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Provider Business Mailing Address
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Address Line | 4425 W 61ST ST
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City | LOS ANGELES
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State | CA
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Zip | 90043-3505
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Country | US
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Telephone | 909-896-1177
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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 | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | 63306
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License Number State | CA
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