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General NPI Number Information
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NPI Number | 1225273089
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Entity Type | Organization
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Legal Business Name | TUAN A. TRAN, DDS INC.
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Dates
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Enumeration Date | 12/09/2008
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Last Update Date | 01/23/2012
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Provider Practice Location Address
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Address Line | 5933 CORONADO LN STE 205
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City | PLEASANTON
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State | CA
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Zip | 94588-8599
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Country | US
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Telephone | 925-846-6308
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Fax | 925-401-0300
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Provider Business Mailing Address
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Address Line | 5933 CORONADO LN STE 205
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City | PLEASANTON
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State | CA
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Zip | 94588-8599
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Country | US
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Telephone | 925-846-6308
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Fax | 925-401-0300
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. TUAN ANH TRAN
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Credential | DDS
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Telephone | 925-846-6308
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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 | 46525
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License Number State | CA
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