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General NPI Number Information
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NPI Number | 1144852120
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Entity Type | Individual
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Provider Name | VU LE TRAN PHARMD
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Gender | Male
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Dates
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Enumeration Date | 02/07/2020
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Last Update Date | 02/07/2020
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Provider Practice Location Address
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Address Line | 7010 NE CORNELL RD
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City | HILLSBORO
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State | OR
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Zip | 97124-5422
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Country | US
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Telephone | 503-693-0109
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Fax |
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Provider Business Mailing Address
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Address Line | 14385 SW WALKER RD APT B3
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City | BEAVERTON
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State | OR
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Zip | 97006-5974
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Country | US
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Telephone | 714-417-1320
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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 | RPH0017617
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License Number State | OR
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | PH60999673
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License Number State | WA
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