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General NPI Number Information
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NPI Number | 1861184855
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Entity Type | Individual
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Provider Name | AMANDA TRAN DDS
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Gender | Female
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Dates
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Enumeration Date | 05/25/2023
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Last Update Date | 08/20/2025
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Provider Practice Location Address
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Address Line | 4212 S MANHATTAN AVE
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City | TAMPA
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State | FL
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Zip | 33611-1302
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Country | US
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Telephone | 813-295-7422
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Fax |
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Provider Business Mailing Address
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Address Line | 13093 MONICA CT
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City | FAIRFAX
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State | VA
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Zip | 22030-8266
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Country | US
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Telephone | 703-593-4218
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Fax |
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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 | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | DN28401
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License Number State | FL
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