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General NPI Number Information
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NPI Number | 1326496845
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Entity Type | Organization
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Legal Business Name | TAM-HUONG TRAN DDS INC
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Dates
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Enumeration Date | 05/25/2016
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Last Update Date | 05/25/2016
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Provider Practice Location Address
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Address Line | 13362 NEWPORT AVE SUITE D
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City | TUSTIN
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State | CA
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Zip | 92780-3427
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Country | US
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Telephone | 714-669-7705
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1962
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City | NEWPORT BEACH
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State | CA
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Zip | 92659-0962
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Country | US
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Telephone | 714-669-7705
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | TAM-HOUNG TRAN
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Credential | DDS
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Telephone | 714-669-7705
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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 |
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License Number State | CA
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