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General NPI Number Information
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NPI Number | 1104027945
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Entity Type | Individual
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Provider Name | ERIC H TRAN PHARMD
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Gender | Male
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Dates
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Enumeration Date | 05/30/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 6215 SANTA TERESA BLVD
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City | SAN JOSE
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State | CA
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Zip | 95119-1436
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Country | US
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Telephone | 408-227-2816
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Fax |
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Provider Business Mailing Address
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Address Line | 290 HERLONG AVE
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City | SAN JOSE
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State | CA
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Zip | 95123-3532
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Country | US
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Telephone | 408-629-5771
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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 | 58930
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License Number State | CA
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