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General NPI Number Information
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NPI Number | 1669154472
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Entity Type | Individual
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Provider Name | VICTORIA THAOVI TRAN DDS
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Gender | Female
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Dates
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Enumeration Date | 08/01/2023
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Last Update Date | 09/16/2025
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Provider Practice Location Address
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Address Line | 8008 WALERGA RD STE 100
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City | ANTELOPE
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State | CA
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Zip | 95843-9003
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Country | US
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Telephone | 916-725-4530
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Fax |
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Provider Business Mailing Address
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Address Line | 3277 STANDER DR
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City | SAN JOSE
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State | CA
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Zip | 95148-3133
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Country | US
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Telephone | 408-464-9540
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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 | 109044
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License Number State | CA
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