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General NPI Number Information
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NPI Number | 1326201294
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Entity Type | Organization
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Legal Business Name | MY G TRAN DDS PROF CORP
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Dates
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Enumeration Date | 07/09/2008
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Last Update Date | 05/12/2010
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Provider Practice Location Address
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Address Line | 7545 W SAHARA AVE STE 200
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City | LAS VEGAS
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State | NV
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Zip | 89117-2866
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Country | US
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Telephone | 700-838-0707
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Fax |
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Provider Business Mailing Address
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Address Line | 10470 W CHEYENNE AVE STE 110
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City | LAS VEGAS
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State | NV
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Zip | 89129-8732
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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 | OWNER
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Name | DR. MY G TRAN
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Credential | D.D.S
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Telephone | 702-405-7400
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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 | 5586
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License Number State | NV
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