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General NPI Number Information
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NPI Number | 1033723085
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Entity Type | Individual
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Provider Name | KHANH BAO TRAN PHARM. D.
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Gender | Female
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Dates
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Enumeration Date | 09/06/2020
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Last Update Date | 11/27/2023
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Provider Practice Location Address
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Address Line | 8917 NE 23RD ST
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City | OKLAHOMA CITY
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State | OK
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Zip | 73141-2245
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Country | US
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Telephone | 405-568-0272
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Fax |
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Provider Business Mailing Address
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Address Line | 2520 NW 26TH ST
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City | OKLAHOMA CITY
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State | OK
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Zip | 73107-2230
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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 |
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 18950
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License Number State | OK
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