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General NPI Number Information
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NPI Number | 1063680254
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Entity Type | Organization
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Legal Business Name | THOMAS T TRAN D P M P C
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Dates
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Enumeration Date | 02/11/2008
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Last Update Date | 10/31/2012
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Provider Practice Location Address
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Address Line | 370 NEFF AVE SUITE A
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City | HARRISONBURG
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State | VA
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Zip | 22801
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Country | US
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Telephone | 540-432-6211
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Fax | 540-432-6417
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Provider Business Mailing Address
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Address Line | 370 NEFF AVE. SUITE A
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City | HARRISONBURG
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State | VA
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Zip | 22801
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Country | US
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Telephone | 540-432-6211
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Fax | 540-432-6417
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Authorized Official
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Title or Position | OWNER
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Name | DR. THOMAS THANG TRAN
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Credential | DPM
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Telephone | 540-432-6211
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | 0103000956
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License Number State | VA
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