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General NPI Number Information
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NPI Number | 1366920621
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Entity Type | Organization
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Legal Business Name | JULIE TRAN, DMD, DENTAL CORP
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Dates
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Enumeration Date | 07/30/2018
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Last Update Date | 11/29/2018
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Provider Practice Location Address
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Address Line | 4183 BALL RD
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City | CYPRESS
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State | CA
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Zip | 90630
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Country | US
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Telephone | 714-827-2131
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Fax | 714-827-0832
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Provider Business Mailing Address
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Address Line | 4183 BALL RD
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City | CYPRESS
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State | CA
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Zip | 90630-3465
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Country | US
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Telephone | 714-873-2764
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JULIE TRAN
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Credential | DMD
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Telephone | 714-827-2131
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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 |
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