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General NPI Number Information
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NPI Number | 1972786622
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Entity Type | Organization
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Legal Business Name | VIVIAN T TRAN DDS INC
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Dates
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Enumeration Date | 12/17/2007
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Last Update Date | 12/17/2007
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Provider Practice Location Address
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Address Line | 13330 BLOOMFIELD AVE STE 201
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City | NORWALK
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State | CA
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Zip | 90650
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Country | US
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Telephone | 562-863-3137
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 10630
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City | BAKERSFIELD
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State | CA
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Zip | 93389
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Country | US
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Telephone | 562-863-3137
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Fax |
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Authorized Official
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Title or Position | DDS DENTIST
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Name | VIVIAN TIEN TRAN
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Credential | DDS
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Telephone | 562-863-3137
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 51310
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License Number State | CA
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