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General NPI Number Information
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NPI Number | 1891196705
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Entity Type | Organization
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Legal Business Name | ROSE TRAN-NGUYEN, D.M.D.
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Dates
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Enumeration Date | 09/10/2014
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Last Update Date | 09/10/2014
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Provider Practice Location Address
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Address Line | 3362 LOMA VISTA RD
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City | VENTURA
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State | CA
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Zip | 93003-3024
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Country | US
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Telephone | 805-654-1961
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Fax | 805-654-0791
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Provider Business Mailing Address
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Address Line | 3362 LOMA VISTA RD
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City | VENTURA
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State | CA
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Zip | 93003-3024
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Country | US
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Telephone | 805-654-1961
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Fax | 805-654-0791
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Authorized Official
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Title or Position | DENTIST
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Name | MS. ROSE TRAN-NGUYEN
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Credential | D.M.D.
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Telephone | 805-654-1961
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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 | 38341
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License Number State | CA
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