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General NPI Number Information
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NPI Number | 1205347432
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Entity Type | Organization
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Legal Business Name | TUAN DOAN DDS, APC
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Dates
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Enumeration Date | 10/16/2017
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Last Update Date | 02/01/2018
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Provider Practice Location Address
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Address Line | 13926 SAN ANTONIO DR
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City | NORWALK
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State | CA
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Zip | 90650-4005
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Country | US
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Telephone | 714-515-0754
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Fax |
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Provider Business Mailing Address
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Address Line | 13926 SAN ANTONIO DR STE 101
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City | NORWALK
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State | CA
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Zip | 90650-4005
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Country | US
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Telephone | 562-863-4110
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Fax | 562-864-3641
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Authorized Official
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Title or Position | PRESIDENT / OWNER
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Name | DR. TUAN DOAN
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Credential | DDS
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Telephone | 714-515-0754
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number | 61857
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License Number State | CA
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