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General NPI Number Information
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NPI Number | 1750833554
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Entity Type | Organization
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Legal Business Name | JAMES H. TRAN DDS, DENTAL CORP.
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Dates
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Enumeration Date | 10/27/2016
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Last Update Date | 05/05/2020
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Provider Practice Location Address
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Address Line | 23876 ALISO CREEK ROAD
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City | LAGUNA NIGUEL
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State | CA
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Zip | 92677
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Country | US
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Telephone | 949-360-1008
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Fax |
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Provider Business Mailing Address
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Address Line | 23876 ALISO CREEK ROAD
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City | LAGUNA NIGUEL
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State | CA
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Zip | 92677
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Country | US
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Telephone | 949-360-1008
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Fax |
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Authorized Official
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Title or Position | DENTIST
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Name | JAMES TRAN
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Credential |
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Telephone | 949-360-1008
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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 | 58860
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License Number State | CA
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