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General NPI Number Information
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NPI Number | 1700353372
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Entity Type | Individual
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Provider Name | CHRISTOPHER QUOC-DUY TRAN DDS
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Gender | Male
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Dates
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Enumeration Date | 10/31/2018
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Last Update Date | 05/17/2023
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Provider Practice Location Address
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Address Line | 9690 W TROPICANA AVE STE 100
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City | LAS VEGAS
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State | NV
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Zip | 89147-2601
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Country | US
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Telephone | 702-876-0000
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Fax |
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Provider Business Mailing Address
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Address Line | 4565 S BONITA VISTA ST
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City | LAS VEGAS
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State | NV
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Zip | 89147-6060
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Country | US
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Telephone | 951-496-2470
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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 | 103145
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 1223E0200X
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Taxonomy Name | Endodontics
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License Number | S7-126C
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License Number State | NV
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