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General NPI Number Information
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NPI Number | 1043292410
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Entity Type | Individual
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Provider Name | LOAN NGOC TRAN MD
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Gender | Female
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Dates
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Enumeration Date | 11/18/2005
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Last Update Date | 11/14/2022
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Provider Practice Location Address
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Address Line | 400 TAYLOR BLVD STE 105
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City | PLEASANT HILL
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State | CA
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Zip | 94523-2114
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Country | US
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Telephone | 925-435-1105
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Fax | 925-677-5011
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Provider Business Mailing Address
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Address Line | 1450 TREAT BLVD STE 300
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City | WALNUT CREEK
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State | CA
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Zip | 94597-2168
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Country | US
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Telephone | 925-952-2828
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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 | 2085R0001X
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Taxonomy Name | Radiation Oncology Physician
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License Number | G75743
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License Number State | CA
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