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General NPI Number Information
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NPI Number | 1063131746
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Entity Type | Individual
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Provider Name | KIMBERLY TRAN
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Gender | Female
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Dates
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Enumeration Date | 08/25/2022
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Last Update Date | 08/25/2022
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Provider Practice Location Address
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Address Line | 1700 S TAMIAMI TRL
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City | SARASOTA
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State | FL
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Zip | 34239-3509
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Country | US
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Telephone | 941-917-1225
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Fax |
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Provider Business Mailing Address
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Address Line | 2501 CATTLEMEN RD UNIT 1207
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City | SARASOTA
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State | FL
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Zip | 34232-6262
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Country | US
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Telephone | 318-347-3344
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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 | 64145
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License Number State | FL
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