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General NPI Number Information
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NPI Number | 1093385742
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Entity Type | Individual
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Provider Name | ALLISON LIEN TRAN PT
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Gender | Female
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Dates
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Enumeration Date | 06/25/2021
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Last Update Date | 06/25/2021
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Provider Practice Location Address
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Address Line | 10961 CLUB WEST PKWY STE 200
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City | BLAINE
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State | MN
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Zip | 55449-5869
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Country | US
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Telephone | 763-528-2992
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Fax |
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Provider Business Mailing Address
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Address Line | 725 7TH ST SE APT H
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City | MINNEAPOLIS
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State | MN
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Zip | 55414-1395
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Country | US
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Telephone | 847-849-9994
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 12298
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License Number State | MN
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