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General NPI Number Information
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NPI Number | 1841560372
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Entity Type | Organization
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Legal Business Name | ANTHONY TRAN, DMD, PC
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Dates
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Enumeration Date | 12/30/2011
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Last Update Date | 12/30/2011
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Provider Practice Location Address
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Address Line | 850 FM 1960 RD SUITE F
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City | HOUSTON
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State | TX
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Zip | 77090-3418
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Country | US
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Telephone | 281-893-3144
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Fax | 281-893-8996
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Provider Business Mailing Address
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Address Line | PO BOX 90482
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City | HOUSTON
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State | TX
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Zip | 77290-0482
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. HUNG TRAN
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Credential | D.M.D
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Telephone | 281-893-3144
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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 | 22059
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License Number State | TX
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