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General NPI Number Information
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NPI Number | 1477289635
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Entity Type | Individual
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Provider Name | DAVID VINH TRAN DMD
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Gender | Male
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Dates
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Enumeration Date | 07/28/2022
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Last Update Date | 05/29/2023
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Provider Practice Location Address
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Address Line | 926 FRANKLIN AVE.
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City | LEMOORE
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State | CA
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Zip | 93246-5004
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Country | US
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Telephone | 559-998-4220
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Fax |
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Provider Business Mailing Address
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Address Line | 9515 MCFADDEN AVE
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City | WESTMINSTER
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State | CA
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Zip | 92683-6923
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Country | US
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Telephone | 714-949-9279
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | DEN.00205297
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License Number State | CO
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