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General NPI Number Information
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NPI Number | 1710290291
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Entity Type | Individual
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Provider Name | MARVINH TRAN D.M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/26/2010
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Last Update Date | 08/02/2023
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Provider Practice Location Address
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Address Line | 3500 E COLFAX AVE UNIT A
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City | DENVER
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State | CO
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Zip | 80206-1817
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Country | US
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Telephone | 303-321-4805
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Fax |
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Provider Business Mailing Address
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Address Line | 82 W BYERS PL
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City | DENVER
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State | CO
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Zip | 80223-1826
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Country | US
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Telephone | 303-588-4993
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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 | 25809
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License Number State | TX
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