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General NPI Number Information
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NPI Number | 1285764217
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Entity Type | Organization
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Legal Business Name | NGUYEN TRAN DANG, DDS, INC.
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Dates
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Enumeration Date | 03/07/2007
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Last Update Date | 08/21/2014
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Provider Practice Location Address
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Address Line | 270 EAST 12TH ST.
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City | OAKLAND
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State | CA
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Zip | 94606
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Country | US
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Telephone | 510-834-3016
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Fax | 510-834-3005
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Provider Business Mailing Address
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Address Line | 270 EAST 12TH ST.
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City | OAKLAND
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State | CA
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Zip | 94606
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Country | US
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Telephone | 510-834-3016
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Fax | 510-834-3005
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Authorized Official
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Title or Position | PRESIDENT
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Name | NGUYEN TRAN DANG
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Credential | DDS
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Telephone | 510-834-3016
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 48095
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License Number State | CA
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