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General NPI Number Information
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NPI Number | 1215436407
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Entity Type | Organization
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Legal Business Name | THINH TRAN D.D.S., INC
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Dates
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Enumeration Date | 02/02/2018
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Last Update Date | 05/22/2019
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Provider Practice Location Address
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Address Line | 919 STORY RD UNIT 1128
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City | SAN JOSE
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State | CA
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Zip | 95122-2677
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Country | US
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Telephone | 408-712-2531
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Fax |
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Provider Business Mailing Address
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Address Line | 919 STORY RD UNIT 1128
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City | SAN JOSE
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State | CA
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Zip | 95122-2677
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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 | SECRETARY
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Name | KIMTHANH NGUYEN
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Credential |
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Telephone | 408-816-7912
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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 |
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License Number State |
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