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General NPI Number Information
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NPI Number | 1720409881
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Entity Type | Organization
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Legal Business Name | HENRY HOANG TRAN, DMD, INC.
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Dates
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Enumeration Date | 12/17/2013
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Last Update Date | 12/17/2013
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Provider Practice Location Address
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Address Line | 545 S KNOTT AVE
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City | ANAHEIM
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State | CA
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Zip | 92804-2807
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Country | US
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Telephone | 714-828-1135
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Fax | 714-828-1136
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Provider Business Mailing Address
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Address Line | 545 S KNOTT AVE
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City | ANAHEIM
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State | CA
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Zip | 92804-2807
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Country | US
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Telephone | 714-828-1135
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Fax | 714-828-1136
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Authorized Official
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Title or Position | DENTIST
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Name | DR. HENRY H TRAN
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Credential | DMD
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Telephone | 714-828-1135
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 302R00000X
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Taxonomy Name | Health Maintenance Organization
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License Number | 49423
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License Number State | CA
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