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General NPI Number Information
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NPI Number | 1356533491
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Entity Type | Organization
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Legal Business Name | TRAN AND TRAN, A DENTAL CORP
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Dates
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Enumeration Date | 08/13/2007
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Last Update Date | 08/13/2007
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Provider Practice Location Address
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Address Line | 13830 SAN PABLO AVE SUITE F
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City | SAN PABLO
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State | CA
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Zip | 94806-3758
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Country | US
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Telephone | 510-233-4200
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Fax | 510-233-4210
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Provider Business Mailing Address
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Address Line | 13830 SAN PABLO AVE SUITE F
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City | SAN PABLO
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State | CA
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Zip | 94806-3758
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Country | US
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Telephone | 510-233-4200
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Fax | 510-233-4210
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Authorized Official
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Title or Position | PRESIDENT/TREASURER
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Name | DR. AN T TRAN
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Credential |
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Telephone | 510-669-0656
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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 | 42241
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License Number State | CA
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