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General NPI Number Information
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NPI Number | 1376761122
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Entity Type | Organization
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Legal Business Name | ANTHONY H. TRAN,DDS & EMILY NGUYEN,DDS, INC.,
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Dates
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Enumeration Date | 04/24/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2900 STANDIFORD AVE SUITE 19
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City | MODESTO
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State | CA
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Zip | 95350-0167
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Country | US
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Telephone | 209-579-0446
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Fax | 209-572-5095
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Provider Business Mailing Address
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Address Line | 2900 STANDIFORD AVE SUITE 19
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City | MODESTO
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State | CA
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Zip | 95350-0167
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Country | US
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Telephone | 209-579-0446
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Fax | 209-572-5060
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ANTHONY H TRAN
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Credential | D.D.S.
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Telephone | 209-579-0446
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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 | 45991
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License Number State | CA
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