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General NPI Number Information
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NPI Number | 1730338138
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Entity Type | Organization
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Legal Business Name | OCEAN RANCH DENTISTRY
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Dates
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Enumeration Date | 09/10/2008
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Last Update Date | 09/10/2008
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Provider Practice Location Address
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Address Line | 3609 OCEAN RANCH BLVD STE 205
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City | OCEANSIDE
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State | CA
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Zip | 92056-8601
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Country | US
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Telephone | 760-453-2900
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Fax | 760-453-2870
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Provider Business Mailing Address
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Address Line | 3609 OCEAN RANCH BLVD STE 205
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City | OCEANSIDE
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State | CA
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Zip | 92056-8601
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Country | US
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Telephone | 760-453-2900
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Fax | 760-453-2870
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Authorized Official
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Title or Position | OWNER
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Name | DR. HUY TRAN
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Credential | DDS
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Telephone | 760-453-2900
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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 | 51613
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 51663
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License Number State | CA
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