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General NPI Number Information
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NPI Number | 1104402601
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Entity Type | Individual
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Provider Name | BRIAN LANDON TRAN
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Gender | Male
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Dates
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Enumeration Date | 03/23/2021
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Last Update Date | 06/11/2025
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Provider Practice Location Address
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Address Line | 16251 SYLVESTER RD SW
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City | BURIEN
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State | WA
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Zip | 98166-3017
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Country | US
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Telephone | 206-244-9970
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Fax |
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Provider Business Mailing Address
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Address Line | 2675 HALLE ANN CIR
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City | WINSTON SALEM
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State | NC
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Zip | 27103-6147
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Country | US
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Telephone |
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | MD61635845
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License Number State | WA
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