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NPI 1073956009

NPI 1073956009 : THY TRAN RPH : HIGHLANDS RANCH, CO

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General NPI Number Information
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    NPI Number           |    1073956009
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    Entity Type          |    Individual 
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    Provider Name        |    THY TRAN RPH
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    04/09/2013
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    Last Update Date     |    09/27/2020
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Provider Practice Location Address
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    Address Line         |    4000 RED CEDAR DR 
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    City                 |    HIGHLANDS RANCH
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    State                |    CO
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    Zip                  |    80126-8067
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    Country              |    US
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    Telephone            |    303-683-4288
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    Fax                  |    303-683-4128
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Provider Business Mailing Address
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    Address Line         |    9551 S UNIVERSITY BLVD 
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    City                 |    HIGHLANDS RANCH
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    State                |    CO
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    Zip                  |    80126-8117
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    Country              |    US
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    Telephone            |    303-470-6445
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    Fax                  |    303-346-3602
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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       |    15626
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    License Number State |    CO
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