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General NPI Number Information
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NPI Number | 1982847893
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Entity Type | Organization
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Legal Business Name | ALLISON P. TRAN DDS, LLC
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Dates
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Enumeration Date | 04/08/2009
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Last Update Date | 08/28/2019
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Provider Practice Location Address
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Address Line | 94-1042 KA UKA BLVD SUITE 202
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City | WAIPAHU
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State | HI
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Zip | 96797-9679
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Country | US
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Telephone | 808-744-0288
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Fax |
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Provider Business Mailing Address
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Address Line | 45-093 WAIKALUA RD
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City | KANEOHE
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State | HI
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Zip | 96744-2754
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Country | US
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Telephone | 808-744-0288
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Fax | 808-744-0779
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Authorized Official
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Title or Position | OWNER
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Name | ALLISON P TRAN-YOKOTA
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Credential |
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Telephone | 808-744-0288
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0300X
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Taxonomy Name | Periodontics
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License Number | 2136
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License Number State | HI
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