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General NPI Number Information
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NPI Number | 1104345339
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Entity Type | Organization
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Legal Business Name | CHRISTINE HUYNH TRAN,M.D. INC.
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Dates
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Enumeration Date | 09/19/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 12665 GARDEN GROVE BLVD STE 204
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City | GARDEN GROVE
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State | CA
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Zip | 92843-1916
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Country | US
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Telephone | 714-537-7373
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Fax | 714-537-7744
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Provider Business Mailing Address
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Address Line | 12665 GARDEN GROVE BLVD STE 204
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City | GARDEN GROVE
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State | CA
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Zip | 92843-1916
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Country | US
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Telephone | 714-537-7373
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Fax | 714-537-7744
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Authorized Official
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Title or Position | DIRECTOR
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Name | DR. CHRISTINE HUYNH TRAN
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Credential | MD
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Telephone | 714-537-7373
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | A79303
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License Number State | CA
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