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General NPI Number Information
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NPI Number | 1528287927
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Entity Type | Individual
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Provider Name | QUYEN TRAN D.M.D.
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Gender | Female
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Dates
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Enumeration Date | 04/24/2007
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Last Update Date | 06/16/2008
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Provider Practice Location Address
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Address Line | 3406 SE FEDERAL HWY
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City | STUART
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State | FL
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Zip | 34997-4914
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Country | US
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Telephone | 772-219-7776
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Fax |
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Provider Business Mailing Address
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Address Line | 1625 SEMINOLE BLVD
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City | WEST PALM BEACH
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State | FL
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Zip | 33409-4935
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Country | US
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Telephone |
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | DN 16860
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License Number State | FL
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