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General NPI Number Information
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NPI Number | 1548432271
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Entity Type | Organization
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Legal Business Name | TRICIA T. TRAN, DDS, PC
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Dates
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Enumeration Date | 04/02/2008
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Last Update Date | 07/02/2024
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Provider Practice Location Address
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Address Line | 14631 LEE HWY, SUITES 406-407
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City | CENTREVILLE
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State | VA
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Zip | 20121
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Country | US
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Telephone | 703-222-0111
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Fax | 703-222-0888
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Provider Business Mailing Address
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Address Line | 14631 LEE HWY, SUITES 406-407
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City | CENTREVILLE
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State | VA
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Zip | 20121
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Country | US
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Telephone | 703-222-0111
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Fax | 703-222-0888
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. TRICIA T. TRAN
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Credential | DDS
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Telephone | 703-222-0111
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | 0401410663
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License Number State | VA
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