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General NPI Number Information
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NPI Number | 1730460239
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Entity Type | Individual
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Provider Name | SHAWN QUANG TRAN D.D.S, D.M.D
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Gender | Male
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Dates
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Enumeration Date | 08/30/2011
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Last Update Date | 06/06/2013
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Provider Practice Location Address
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Address Line | 8501 S SAM HOUSTON PKWY E SUITE D-110
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City | HOUSTON
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State | TX
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Zip | 77075-4857
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Country | US
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Telephone | 713-300-1470
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Fax | 713-991-2637
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Provider Business Mailing Address
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Address Line | 8501 S SAM HOUSTON PKWY E SUITE D-110
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City | HOUSTON
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State | TX
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Zip | 77075-4857
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Country | US
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Telephone | 713-300-1470
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Fax | 713-991-2637
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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 | 2901020547
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 27364
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License Number State | TX
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