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General NPI Number Information
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NPI Number | 1700172004
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Entity Type | Individual
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Provider Name | DOAN QUOC TRAN DDS
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Gender | Male
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Dates
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Enumeration Date | 06/24/2011
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Last Update Date | 09/17/2013
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Provider Practice Location Address
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Address Line | 2121 TW ALEXANDER DR SUITE 109
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City | MORRISVILLE
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State | NC
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Zip | 27560-6815
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Country | US
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Telephone | 919-436-4200
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Fax | 919-590-1855
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Provider Business Mailing Address
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Address Line | 2121 TW ALEXANDER DR SUITE 109
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City | MORRISVILLE
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State | NC
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Zip | 27560-6815
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Country | US
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Telephone | 919-436-4200
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Fax | 919-590-1855
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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 | 9118
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License Number State | NC
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