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NPI 1124605431

NPI 1124605431 : OLIVIA KAY JANSON TRAN MD : BURIEN, WA

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General NPI Number Information
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    NPI Number           |    1124605431
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    Entity Type          |    Individual 
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    Provider Name        |    OLIVIA KAY JANSON TRAN MD
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    03/24/2021
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    Last Update Date     |    08/26/2025
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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         |    4103 NE 6TH PL 
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    City                 |    RENTON
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    State                |    WA
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    Zip                  |    98059-4723
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    Country              |    US
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    Telephone            |    360-798-2438
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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        |    208000000X
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    Taxonomy Name        |    Pediatrics Physician
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    License Number       |    MD.MD.70007573
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    License Number State |    WA
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Taxonomy #2
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    Taxonomy Code        |    2080N0001X
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    Taxonomy Name        |    Neonatal-Perinatal Medicine Physician
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    License Number       |    MD.MD.70007573
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    License Number State |    WA
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