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General NPI Number Information
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NPI Number | 1720323066
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Entity Type | Organization
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Legal Business Name | TRANS DENTAL CARE A PROFESSIONAL
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Dates
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Enumeration Date | 11/27/2012
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Last Update Date | 11/27/2012
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Provider Practice Location Address
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Address Line | 10914 OLD HAMMOND HWY
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City | BATON ROUGE
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State | LA
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Zip | 70816-8313
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Country | US
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Telephone | 225-615-7334
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Fax | 225-615-7986
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Provider Business Mailing Address
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Address Line | 10914 OLD HAMMOND HWY
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City | BATON ROUGE
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State | LA
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Zip | 70816-8313
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Country | US
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Telephone | 225-615-7334
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Fax | 225-615-7986
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Authorized Official
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Title or Position | DENTIST/OWNER
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Name | DR. HOANG VAN TRAN
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Credential | D.D.S.
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Telephone | 225-615-7334
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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 |
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License Number State |
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