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General NPI Number Information
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NPI Number | 1083778054
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Entity Type | Individual
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Provider Name | ANGELA MICHIKO DANGTRAN PHARM. D.
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Gender | Female
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Dates
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Enumeration Date | 12/21/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1425 S MAIN ST
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City | WALNUT CREEK
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State | CA
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Zip | 94596-5318
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Country | US
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Telephone | 925-295-4655
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Fax | 925-295-4661
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Provider Business Mailing Address
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Address Line | 4469 SOLANO RD
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City | FAIRFIELD
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State | CA
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Zip | 94533-6608
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Country | US
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Telephone | 530-400-3958
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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 | 57588
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License Number State | CA
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